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Ankle Orthosis, Supramalleolar, Custom Fabricated

Nebraska rates for HCPCS L1907

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

Rates data updated July 2026.

Facilitymedian $692 · 10th–90th $302$3,1620%10%20%10th90th$692Professionalmedian $316 · 10th–90th $257$5620%20%40%10th90th$316$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
$426.58
Median
$426.58
Typical High
$426.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$316.23
Typical High
$426.58
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$588.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$645.65
Typical High
$660.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$758.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$794.33
Typical High
$1,412.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$741.31
Typical High
$3,162.28
Medica
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$338.84
Typical High
$660.69
Midlands
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$1,819.70
Midlands
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Midlands
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,698.24
Typical High
$1,819.70
United
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$691.83
Typical High
$707.95
United
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$338.84
Typical High
$524.81