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Ankle Orthosis, Gauntlet, Off-the-Shelf

Oklahoma 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?

$57.54

Typical negotiated rate. In Oklahoma, July 2026.

Insurers have agreed to pay about $57.54 for this service. The price depends on where it is billed: about $57.54 from a physician practice, and about $57.54 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 6 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$57.54$53.70 to $105
FacilityA hospital or hospital-owned outpatient department$57.54$56.23 to $105

How much rates vary

Facilitymedian $58 · 10th to 90th $49 to $174Professionalmedian $58 · 10th to 90th $41 to $105
$10.0$20.0$50.0$100.0$200.0$500.0facility $58professional $58

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
$54.95
Median
$56.23
Typical High
$56.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$54.95
Typical High
$74.13
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$87.10
Typical High
$165.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
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
$104.71
Medica
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$74.13
Typical High
$371.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$57.54
Typical High
$147.91
United
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$97.72
Typical High
$123.03
United
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$44.67
Typical High
$69.18

Where Oklahoma 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.

Oklahoma $57.54 · 31st 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.