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Ankle Orthosis, Gauntlet, Off-the-Shelf

North Dakota 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?

$75.86

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $75.86 for this service. The price depends on where it is billed: about $75.86 from a physician practice, and about $66.07 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 5 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$75.86$63.10 to $100
FacilityA hospital or hospital-owned outpatient department$66.07$63.10 to $66.07

How much rates vary

Facilitymedian $66 · 10th to 90th $63 to $135Professionalmedian $76 · 10th to 90th $54 to $110
$50.0$100.0$200.0$500.0facility $66professional $76

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
$63.10
Median
$66.07
Typical High
$66.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$75.86
Typical High
$109.65
BCBS
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$100.00
Typical High
$109.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$104.71
Typical High
$128.82
Medica
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$89.13
Typical High
$467.74
Medica
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$44.67
Typical High
$91.20
United
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$147.91
United
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$61.66
Typical High
$107.15

Where North Dakota 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.

North Dakota $75.86 · 12th 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.