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Static or Dynamic Ankle-Foot Orthosis, Off-the-Shelf

Nationwide rates for HCPCS L4397

Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf

Rates data updated July 2026.

Facilitymedian $178 · 10th–90th $105$4900%20%40%10th90th$178Professionalmedian $120 · 10th–90th $85$2340%20%10th90th$120$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
$81.28
Median
$109.65
Typical High
$204.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$112.20
Typical High
$223.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$177.83
Typical High
$407.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$134.90
Typical High
$239.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$125.89
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$295.12
United
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$138.04
Typical High
$245.47
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$102.33
Typical High
$213.80