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

Texas 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 $78 · 10th–90th $32$3310%10%10th90th$78Professionalmedian $49 · 10th–90th $46$980%20%40%10th90th$49$0.1$1.0$10.0$100.0$1.0K

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
$46.77
Typical High
$83.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$53.70
Typical High
$109.65
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$69.18
Typical High
$147.91
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,548.13
Typical High
$4,786.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
Baylor Scott & White
Setting
Facility
Modifier
Global
Typical Low
$6.17
Median
$19.95
Typical High
$21.88
Baylor Scott & White
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$83.18
Typical High
$104.71
Christus
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$79.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$165.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$67.61
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$85.11
Typical High
$141.25
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$100.00
Typical High
$112.20
Molina
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$61.66
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
Providence
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$81.28
Typical High
$144.54
Providence
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$67.61
United
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$85.11
Typical High
$117.49
United
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$60.26
Typical High
$72.44
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$104.71
Typical High
$141.25