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

Colorado 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 $141 · 10th–90th $102$2750%20%10th90th$141Professionalmedian $112 · 10th–90th $85$2000%20%40%10th90th$112$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
Facility
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$194.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$112.20
Typical High
$194.98
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$245.47
Typical High
$436.52
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$120.23
Typical High
$190.55
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
$190.55
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$144.54
Typical High
$269.15
Denver HMP
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$204.17
Typical High
$426.58
Select Health
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$380.19
Typical High
$426.58
Select Health
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$204.17
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$104.71
Typical High
$204.17
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$89.13
Typical High
$141.25