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Ankle Orthosis, Supramalleolar, Custom Fabricated

New Hampshire rates for HCPCS L1907

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

Rates data updated July 2026.

Facilitymedian $676 · 10th–90th $372$8320%20%10th90th$676Professionalmedian $417 · 10th–90th $288$5750%20%10th90th$417$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
$371.54
Median
$371.54
Typical High
$446.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$371.54
Typical High
$446.68
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$724.44
Typical High
$831.76
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$407.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$489.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$416.87
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$1,071.52
United
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$316.23
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$398.11
Typical High
$575.44
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$954.99