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Ankle Orthosis, Gauntlet, Off-the-Shelf

Rhode Island 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?

$54.95

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $54.95 for this service. The price depends on where it is billed: about $53.70 from a physician practice, and about $174 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 4 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$53.70$50.12 to $67.61
FacilityA hospital or hospital-owned outpatient department$174$60.26 to $214

How much rates vary

Facilitymedian $174 · 10th to 90th $58 to $240Professionalmedian $54 · 10th to 90th $46 to $145
$50$100$200facility $174professional $54

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$53.70
Typical High
$144.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$204.17
Typical High
$239.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$67.61
Typical High
$97.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$60.26
Typical High
$60.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$42.66
United
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$54.95
Typical High
$123.03
United
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$54.95
Typical High
$87.10

Where Rhode Island 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.

Rhode Island· 38th of 51

$54.95

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.