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

Georgia 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.

How much does Static or Dynamic Ankle-Foot Orthosis, Off-the-Shelf cost?

$141

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $141 for this service. The price depends on where it is billed: about $141 from a physician practice, and about $209 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$141$102 to $186
FacilityA hospital or hospital-owned outpatient department$209$95.50 to $288

How much rates vary

Facilitymedian $209 · 10th to 90th $95 to $759Professionalmedian $141 · 10th to 90th $95 to $288
$100$200$500facility $209professional $141

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$251.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$125.89
Typical High
$288.40
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$288.40
Typical High
$398.11
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$489.78
Typical High
$758.58
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$169.82
Typical High
$263.03
CareSource
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$295.12
CareSource
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$263.03
Typical High
$323.59
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
$245.47
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$208.93
Typical High
$371.54
United
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$89.13
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$102.33
Typical High
$204.17

Where Georgia sits

The same service costs 2.5 times more in Minnesota than in Washington, DC. 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.

Georgia· 16th of 51

$141

MN $204DC $81.28

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.