go back

Ankle Orthosis, Gauntlet, Off-the-Shelf

Nevada rates for HCPCS L1902

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

Rates data updated July 2026.

Facilitymedian $35 · 10th–90th $35$1050%50%90th$35Professionalmedian $49 · 10th–90th $31$2290%10%20%10th90th$49$1.0$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$93.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$42.66
Typical High
$229.09
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$104.71
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$109.65
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$57.54
Typical High
$91.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$67.61
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$104.71
Typical High
$177.83
Select Health
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
Select Health
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$95.50
Typical High
$104.71
United
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$44.67
Typical High
$56.23
United
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$64.57
Typical High
$114.82