go back

Ankle Orthosis, Supramalleolar, Custom Fabricated

Rhode Island 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?

$389

Typical negotiated rate. In Rhode Island, October 2026.

Insurers have agreed to pay about $389 for this service. The price depends on where it is billed: about $389 from a physician practice, and about $1,230 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$389$331 to $437
FacilityA hospital or hospital-owned outpatient department$1,230$955 to $1,413

How much rates vary

Facilitymedian $1,230 · 10th to 90th $832 to $1,549Professionalmedian $389 · 10th to 90th $302 to $550
$200$500$1Kfacility $1,230professional $389

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
Professional
Modifier
None
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$954.99
Median
$1,318.26
Typical High
$1,548.82
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$302.00
Median
$436.52
Typical High
$602.56
Cigna
Setting
Facility
Modifier
None
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Cigna
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$309.03
Typical High
$416.87
United
Setting
Facility
Modifier
None
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
United
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$354.81
Typical High
$549.54

Where Rhode Island 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.

Rhode Island· 35th of 51

$389

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.