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Ankle Orthosis, Supramalleolar, Custom Fabricated

New Jersey 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?

$331

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $331 for this service. The price depends on where it is billed: about $331 from a physician practice, and about $417 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$331$275 to $676
FacilityA hospital or hospital-owned outpatient department$417$417 to $417

How much rates vary

Facilitymedian $417 · 10th to 90th $224 to $676Professionalmedian $331 · 10th to 90th $224 to $676
$500$1Kfacility $417professional $331

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$223.87
Median
$223.87
Typical High
$257.04
Aetna
Setting
Professional
Modifier
None
Typical Low
$223.87
Median
$223.87
Typical High
$302.00
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$112.20
Median
$112.20
Typical High
$144.54
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$44.67
Median
$44.67
Typical High
$57.54
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$33.88
Median
$33.88
Typical High
$43.65
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$22.39
Median
$22.39
Typical High
$28.84
Cigna
Setting
Facility
Modifier
None
Typical Low
$416.87
Median
$416.87
Typical High
$676.08
Cigna
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$309.03
Typical High
$416.87
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$891.25
Typical High
$891.25
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
United
Setting
Facility
Modifier
None
Typical Low
$707.95
Median
$707.95
Typical High
$831.76
United
Setting
Professional
Modifier
None
Typical Low
$257.04
Median
$354.81
Typical High
$645.65

Where New Jersey 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.

New Jersey· 48th of 51

$331

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.