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Ankle Orthosis, Supramalleolar, Custom Fabricated

Montana 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?

$692

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $692 for this service. The price depends on where it is billed: about $676 from a physician practice, and about $759 from a hospital or other facility.

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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$676$309 to $724
FacilityA hospital or hospital-owned outpatient department$759$692 to $39,811

How much rates vary

Facilitymedian $759 · 10th to 90th $525 to $40,738Professionalmedian $676 · 10th to 90th $79 to $776
$100$500$2K$10K$50Kfacility $759professional $676

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$354.81
Typical High
$645.65
BCBS Montana
Setting
Facility
Modifier
None
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
Cigna
Setting
Facility
Modifier
None
Typical Low
$512.86
Median
$724.44
Typical High
$724.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$588.84
Median
$724.44
Typical High
$724.44
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$524.81
Median
$870.96
Typical High
$40,738.03
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$691.83
Median
$776.25
Typical High
$42,657.95
Providence
Setting
Facility
Modifier
None
Typical Low
$416.87
Median
$724.44
Typical High
$724.44
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$537.03
Typical High
$724.44
United
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$302.00
Typical High
$501.19

Where Montana 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.

Montana· 1st of 51

$692

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.