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Ankle Orthosis, Gauntlet, Off-the-Shelf

North Carolina 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?

$81.28

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $81.28 for this service. The price depends on where it is billed: about $81.28 from a physician practice, and about $89.13 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$81.28$60.26 to $93.33
FacilityA hospital or hospital-owned outpatient department$89.13$58.88 to $107

How much rates vary

Facilitymedian $89 · 10th to 90th $46 to $151Professionalmedian $81 · 10th to 90th $47 to $120
$50$100$200$500facility $89professional $81

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
$58.88
Median
$89.13
Typical High
$123.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$81.28
Typical High
$120.23
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$79.43
Typical High
$100.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$91.20
Typical High
$186.21
BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$75.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$57.54
Typical High
$60.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$64.57
Medcost
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$60.26
Typical High
$70.79
Medcost
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$81.28
Typical High
$141.25
United
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$67.61
Typical High
$93.33
United
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$45.71
Typical High
$69.18
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$891.25

Where North Carolina sits

The same service costs 2.5 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

North Carolina· 8th of 51

$81.28

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.