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Ankle Orthosis, Gauntlet, Off-the-Shelf

Oregon 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?

$87.10

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $87.10 for this service. The price depends on where it is billed: about $81.28 from a physician practice, and about $100 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 8 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$81.28$53.70 to $107
FacilityA hospital or hospital-owned outpatient department$100$87.10 to $110

How much rates vary

Facilitymedian $100 · 10th to 90th $83 to $110Professionalmedian $81 · 10th to 90th $43 to $129
$50$100$200facility $100professional $81

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
$93.33
Median
$93.33
Typical High
$93.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$75.86
Typical High
$144.54
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
$42.66
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$199.53
Typical High
$239.88
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$83.18
Typical High
$112.20
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$89.13
Typical High
$123.03
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$107.15
Typical High
$109.65
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$109.65
Typical High
$114.82
Providence
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$91.20
Typical High
$125.89
Providence
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$95.50
Typical High
$114.82
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$114.82
Typical High
$436.52
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$123.03
Typical High
$123.03
United
Setting
Facility
Modifier
Global
Typical Low
$0.07
Median
$44.67
Typical High
$147.91
United
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$44.67
Typical High
$85.11

Where Oregon 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.

Oregon· 5th of 51

$87.10

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.