go back

Delaware 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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.20 / $112.90 / $112.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.02 / $106.02 / $127.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.76 / $92.76 / $92.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $98.44 / $154.44