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

Washington, DC 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?

$132

Typical negotiated rate. In Washington, DC, October 2026.

Insurers have agreed to pay about $132 for this service. Most negotiated rates run $93.33 to $138.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $81 · 10th to 90th $81 to $141Professionalmedian $132 · 10th to 90th $81 to $204
$100$200facility $81professional $132

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
$81.28
Median
$81.28
Typical High
$81.28
Aetna
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$85.11
Typical High
$204.17
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$40.74
Median
$40.74
Typical High
$63.10
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$16.22
Median
$16.22
Typical High
$25.12
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$12.02
Median
$12.02
Typical High
$18.62
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$8.13
Median
$8.13
Typical High
$12.59
CareFirst
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$131.83
Typical High
$138.04
Cigna
Setting
Facility
Modifier
None
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Cigna
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$93.33
Typical High
$125.89
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$169.82
Typical High
$389.05
United
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$114.82
Typical High
$213.80

Where Washington, DC 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.

Washington, DC· 23rd of 51

$132

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.