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Ankle Orthosis, Supramalleolar, Custom Fabricated

Utah rates for HCPCS L1907

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

Rates data updated July 2026.

Facilitymedian $302 · 10th–90th $195$6920%20%40%10th90th$302Professionalmedian $389 · 10th–90th $195$2,8840%10%10th90th$389$50.0$100.0$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
$194.98
Median
$194.98
Typical High
$194.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$363.08
Typical High
$2,884.03
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
$416.87
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$501.19
Typical High
$645.65
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$691.83
Typical High
$691.83
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$489.78
Typical High
$741.31
Select Health
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
Select Health
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$676.08
Typical High
$691.83
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$691.83
Typical High
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$302.00
Typical High
$630.96
United
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$302.00
Typical High
$457.09