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Ankle Control Orthosis, Stirrup Style, Rigid, Off-the-Shelf

Montana rates for HCPCS L4350

Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf

Rates data updated July 2026.

Facilitymedian $98 · 10th–90th $63$2090%20%40%10th90th$98Professionalmedian $79 · 10th–90th $46$2880%20%10th90th$79$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$27.54
Median
$27.54
Typical High
$27.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$61.66
Typical High
$302.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$69,183.10
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$104.71
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$104.71
Typical High
$104.71
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$97.72
Typical High
$190.55
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$97.72
Typical High
$190.55
Providence
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$93.33
Typical High
$138.04
Providence
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$81.28
Typical High
$104.71
United
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$53.70
Typical High
$63.10
United
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$50.12
Typical High
$77.62