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Ankle Orthosis, Supramalleolar, Custom Fabricated

Washington, DC rates for HCPCS L1907

Ankle orthosis (AO), supramalleolar with straps, with or without interface/pads, custom fabricated

Rates data updated October 2026.

How much does Ankle Orthosis, Supramalleolar, Custom Fabricated cost?

$398

Typical negotiated rate. In Washington, DC, October 2026.

Insurers have agreed to pay about $398 for this service. Most negotiated rates run $295 to $447.

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.

How much rates vary

Facilitymedian $269 · 10th to 90th $269 to $513Professionalmedian $398 · 10th to 90th $269 to $646
$200$500$1Kfacility $269professional $398

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Aetna
Setting
Professional
Modifier
None
Typical Low
$269.15
Median
$269.15
Typical High
$416.87
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$134.90
Median
$134.90
Typical High
$208.93
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$53.70
Median
$53.70
Typical High
$83.18
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$40.74
Median
$40.74
Typical High
$63.10
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$26.92
Median
$26.92
Typical High
$41.69
CareFirst
Setting
Professional
Modifier
None
Typical Low
$398.11
Median
$398.11
Typical High
$467.74
Cigna
Setting
Facility
Modifier
None
Typical Low
$416.87
Median
$416.87
Typical High
$512.86
Cigna
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$309.03
Typical High
$416.87
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$575.44
Typical High
$1,318.26
United
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$354.81
Typical High
$724.44

Where Washington, DC sits

The same service costs 2.2 times more in Montana than in Delaware. 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.

Washington, DC· 31st of 51

$398

MT $692DE $309

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.