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Ankle Orthosis, Gauntlet, Off-the-Shelf

Missouri rates for HCPCS L1902

Ankle orthosis (AO), ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf

Rates data updated July 2026.

How much does Ankle Orthosis, Gauntlet, Off-the-Shelf cost?

$56.23

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $56.23 for this service. The price depends on where it is billed: about $54.95 from a physician practice, and about $74.13 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$54.95$50.12 to $81.28
FacilityA hospital or hospital-owned outpatient department$74.13$50.12 to $97.72

How much rates vary

Facilitymedian $74 · 10th to 90th $27 to $178Professionalmedian $55 · 10th to 90th $43 to $178
$0.1$1.0$10.0$100.0facility $74professional $55

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$51.29
Typical High
$114.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$57.54
Typical High
$229.09
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$74.13
Typical High
$117.49
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$338.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$54.95
Typical High
$89.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$97.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$87.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$57.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$75.86
Typical High
$467.74
Medica
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$47.86
Typical High
$588.84
United
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$77.62
Typical High
$97.72
United
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$47.86
Typical High
$91.20

Where Missouri sits

The same service costs 2.5 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Missouri $56.23 · 35th of 51
HI $107DC $42.66

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.