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Ankle Orthosis, Gauntlet, Off-the-Shelf

New Jersey 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?

$51.29

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $51.29 for this service. The price depends on where it is billed: about $51.29 from a physician practice, and about $39.81 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$51.29$42.66 to $85.11
FacilityA hospital or hospital-owned outpatient department$39.81$39.81 to $57.54

How much rates vary

Facilitymedian $40 · 10th to 90th $40 to $120Professionalmedian $51 · 10th to 90th $38 to $120
$50$100$200$500facility $40professional $51

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
$39.81
Median
$39.81
Typical High
$39.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$47.86
Typical High
$144.54
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$117.49
Typical High
$234.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$57.54
Typical High
$120.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$102.33
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$114.82
Typical High
$158.49
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
United
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$52.48
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$63.10
Typical High
$114.82

Where New Jersey 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.

New Jersey· 46th of 51

$51.29

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.