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Ankle Orthosis, Gauntlet, Off-the-Shelf

New Mexico 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 New Mexico, July 2026.

Insurers have agreed to pay about $81.28 for this service. The price depends on where it is billed: about $72.44 from a physician practice, and about $263 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$72.44$53.70 to $115
FacilityA hospital or hospital-owned outpatient department$263$89.13 to $955

How much rates vary

Facilitymedian $263 · 10th to 90th $45 to $1,445Professionalmedian $72 · 10th to 90th $41 to $219
$100$1K$10K$100Kfacility $263professional $72

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
$109.65
Median
$109.65
Typical High
$109.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$58.88
Typical High
$229.09
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$104.71
BCBS
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$933.25
Typical High
$1,584.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$95.50
Typical High
$114.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$131.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$173.78
Typical High
$263.03
Providence
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$81.28
Typical High
$109.65
Providence
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$114.82
United
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$47.86
Typical High
$123.03
United
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$44.67
Typical High
$67.61

Where New Mexico 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 Mexico· 9th 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.