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Ankle Orthosis, Gauntlet, Off-the-Shelf

West Virginia 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?

$53.70

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $53.70 for this service. The price depends on where it is billed: about $52.48 from a physician practice, and about $54.95 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 5 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$52.48$50.12 to $53.70
FacilityA hospital or hospital-owned outpatient department$54.95$54.95 to $58.88

How much rates vary

Facilitymedian $55 · 10th to 90th $54 to $59Professionalmedian $52 · 10th to 90th $43 to $66
$50.0$100.0$200.0$500.0facility $55professional $52

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
$53.70
Median
$54.95
Typical High
$58.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$52.48
Typical High
$53.70
CareSource
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$125.89
Typical High
$128.82
CareSource
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$112.20
Typical High
$151.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$138.04
Typical High
$138.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$501.19
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$104.71
United
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$44.67
Typical High
$104.71
United
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$60.26
Typical High
$87.10

Where West Virginia 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.

West Virginia $53.70 · 41st 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.