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Ankle Orthosis, Supramalleolar, Custom Fabricated

Idaho rates for HCPCS L1907

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

Rates data updated July 2026.

Facilitymedian $646 · 10th–90th $355$8320%20%40%10th90th$646Professionalmedian $447 · 10th–90th $269$7410%10%20%10th90th$447$0.5$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$389.05
Typical High
$575.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$645.65
Typical High
$1,096.48
BCBS
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$741.31
Typical High
$741.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$436.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$416.87
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$602.56
Typical High
$691.83
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$645.65
Typical High
$676.08
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$478.63
Typical High
$575.44
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$645.65
Typical High
$645.65
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$741.31
Select Health
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$691.83
Typical High
$1,023.29
Select Health
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$645.65
Typical High
$741.31
United
Setting
Facility
Modifier
Global
Typical Low
$0.48
Median
$346.74
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$302.00
Typical High
$436.52