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

Alaska 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 October 2026.

How much does Static or Dynamic Ankle-Foot Orthosis, Off-the-Shelf cost?

$186

Typical negotiated rate. In Alaska, October 2026.

Insurers have agreed to pay about $186 for this service. The price depends on where it is billed: about $186 from a physician practice, and about $186 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$186$155 to $191
FacilityA hospital or hospital-owned outpatient department$186$141 to $186

How much rates vary

Facilitymedian $186 · 10th to 90th $132 to $200Professionalmedian $186 · 10th to 90th $100 to $219
$100$200$500facility $186professional $186

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Aetna
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$165.96
Typical High
$204.17
Cigna
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$141.25
Cigna
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$93.33
Typical High
$213.80
Moda Health
Setting
Facility
Modifier
None
Typical Low
$165.96
Median
$186.21
Typical High
$186.21
Moda Health
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$186.21
Typical High
$218.78
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$169.82
Median
$169.82
Typical High
$199.53
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$190.55
Typical High
$194.98
Providence
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$141.25
Typical High
$239.88
Providence
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$125.89
Typical High
$213.80
United
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$144.54
Typical High
$489.78

Where Alaska sits

The same service costs 2.1 times more in Hawaii than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Alaska· 9th of 51

$186

HI $200DE $93.33

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.