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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 July 2026.

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

$132

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $132 for this service. The price depends on where it is billed: about $115 from a physician practice, and about $132 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$115$112 to $191
FacilityA hospital or hospital-owned outpatient department$132$132 to $186

How much rates vary

Facilitymedian $132 · 10th to 90th $132 to $200Professionalmedian $115 · 10th to 90th $100 to $240
$100$200$500facility $132professional $115

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$112.20
Typical High
$165.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$213.80
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$199.53
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$199.53
Typical High
$630.96
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$190.55
Typical High
$199.53
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$190.55
Typical High
$199.53
Providence
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$208.93
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$125.89
Typical High
$186.21
United
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$95.50
Typical High
$112.20
United
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$151.36
Typical High
$436.52

Where Alaska sits

The same service costs 2.5 times more in Minnesota than in Washington, DC. 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· 20th of 51

$132

MN $204DC $81.28

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.