go back

Static or Dynamic Ankle-Foot Orthosis, Custom Fitted

Arkansas rates for HCPCS L4396

Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Rates data updated July 2026.

Facilitymedian $380,189 · 10th–90th $112$891,2510%10%20%10th90th$380,189Professionalmedian $107 · 10th–90th $68$1260%20%40%10th90th$107$0.1$2.0$50.0$1.0K$20.0K$500.0K

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
$112.20
Median
$112.20
Typical High
$112.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$107.15
Typical High
$125.89
BCBS
Setting
Facility
Modifier
Global
Typical Low
$218,776.16
Median
$524,807.46
Typical High
$954,992.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$234.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$218.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$83.18
Typical High
$117.49
United
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$97.72
Typical High
$245.47
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$93.33
Typical High
$134.90