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

Alabama 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 $115 · 10th–90th $69$2090%20%10th90th$115Professionalmedian $120 · 10th–90th $87$1910%20%10th90th$120$0.2$1.0$5.0$20.0$100.0$500.0

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
Professional
Modifier
Global
Typical Low
$93.33
Median
$120.23
Typical High
$190.55
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$186.21
BCBS
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$125.89
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$223.87
United
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$107.15
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$95.50
Typical High
$141.25