go back

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

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

Rates data updated July 2026.

Facilitymedian $95 · 10th–90th $0$1260%20%10th90th$95Professionalmedian $93 · 10th–90th $81$7410%50%10th90th$93$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$89.13
Typical High
$741.31
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
$125.89
United
Setting
Facility
Modifier
Global
Typical Low
$0.14
Median
$89.13
Typical High
$95.50
United
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$107.15
Typical High
$154.88