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Ankle Orthosis, Supramalleolar, Custom Fabricated

Illinois rates for HCPCS L1907

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

Rates data updated July 2026.

Facilitymedian $832 · 10th–90th $347$3,3110%20%10th90th$832Professionalmedian $437 · 10th–90th $316$6920%20%10th90th$437$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

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
Facility
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$346.74
Typical High
$691.83
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,318.26
Typical High
$4,677.35
BCBS
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$524.81
Typical High
$524.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$758.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$741.31
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$741.31
Typical High
$954.99
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$549.54
United
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$549.54
Typical High
$691.83
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$338.84
Typical High
$575.44