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Ankle Orthosis, Supramalleolar, Custom Fabricated

Tennessee rates for HCPCS L1907

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

Rates data updated July 2026.

Facilitymedian $537 · 10th–90th $302$3,2360%20%10th90th$537Professionalmedian $324 · 10th–90th $302$5750%20%10th90th$324$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$309.03
Median
$338.84
Typical High
$537.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$323.59
Typical High
$575.44
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$562.34
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
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$3,235.94
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$5,011.87
Typical High
$5,011.87
United
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$354.81
Typical High
$691.83
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$323.59
Typical High
$446.68