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Ankle Orthosis, Gauntlet, Off-the-Shelf

Tennessee 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?

$51.29

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $51.29 for this service. The price depends on where it is billed: about $50.12 from a physician practice, and about $72.44 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$50.12$42.66 to $70.79
FacilityA hospital or hospital-owned outpatient department$72.44$45.71 to $501

How much rates vary

Facilitymedian $72 · 10th to 90th $45 to $501Professionalmedian $50 · 10th to 90th $41 to $87
$50$100$200$500facility $72professional $50

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
$41.69
Median
$45.71
Typical High
$72.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$47.86
Typical High
$87.10
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$93.33
Typical High
$131.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$75.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$67.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$57.54
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$891.25
Typical High
$891.25
United
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$51.29
Typical High
$93.33
United
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$44.67
Typical High
$67.61

Where Tennessee 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.

Tennessee· 47th of 51

$51.29

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.