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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 July 2026.

Facilitymedian $224 · 10th–90th $224$6760%50%90th$224Professionalmedian $324 · 10th–90th $224$6610%10%10th90th$324$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
$223.87
Median
$223.87
Typical High
$223.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$302.00
Typical High
$426.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$416.87
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$416.87
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$645.65
Typical High
$891.25
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
United
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$676.08
Typical High
$676.08
United
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$354.81
Typical High
$660.69