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Ankle Orthosis, Supramalleolar, Custom Fabricated

Minnesota rates for HCPCS L1907

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

Rates data updated July 2026.

Facilitymedian $1,230 · 10th–90th $575$5,4950%20%10th90th$1,230Professionalmedian $676 · 10th–90th $427$7940%20%40%10th90th$676$1.0$5.0$20.0$100.0$500.0$2.0K

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
$467.74
Median
$467.74
Typical High
$467.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$426.58
Typical High
$501.19
BCBS
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$676.08
Typical High
$1,000.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$676.08
Typical High
$676.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$2,570.40
Typical High
$7,079.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$891.25
Typical High
$1,000.00
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$2,818.38
Typical High
$5,495.41
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$1,071.52
Medica
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$676.08
Typical High
$3,162.28
Medica
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$331.13
Typical High
$741.31
United
Setting
Facility
Modifier
Global
Typical Low
$4.79
Median
$302.00
Typical High
$977.24
United
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$354.81
Typical High
$954.99