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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 July 2026.

Facilitymedian $1,202 · 10th–90th $372$1,5490%20%10th90th$1,202Professionalmedian $372 · 10th–90th $288$4570%20%10th90th$372$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$323.59
Typical High
$389.05
BCBS
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,318.26
Typical High
$1,548.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$436.52
Typical High
$630.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$371.54
Typical High
$831.76
United
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$354.81
Typical High
$549.54