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Ankle Orthosis, Supramalleolar, Custom Fabricated

North Dakota rates for HCPCS L1907

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

Rates data updated July 2026.

Facilitymedian $501 · 10th–90th $468$9770%50%10th90th$501Professionalmedian $646 · 10th–90th $363$8320%20%10th90th$646$200.0$500.0$1.0K$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
$501.19
Typical High
$501.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$467.74
Typical High
$2,511.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$758.58
Typical High
$831.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$794.33
Typical High
$977.24
Medica
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$575.44
Typical High
$3,162.28
Medica
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$338.84
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$977.24
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$457.09
Typical High
$794.33