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

Florida 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 $112 · 10th–90th $87$3800%20%10th90th$112Professionalmedian $112 · 10th–90th $85$1820%20%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
$87.10
Median
$97.72
Typical High
$112.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$112.20
Typical High
$177.83
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$158.49
Typical High
$302.00
AvMed
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
AvMed
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$208.93
Typical High
$208.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$281.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$125.89
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$123.03
Typical High
$208.93
Molina
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$85.11
Typical High
$107.15
United
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$97.72
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$100.00
Typical High
$141.25
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$208.93