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

Iowa 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 Iowa, July 2026.

Insurers have agreed to pay about $141 for this service. The price depends on where it is billed: about $138 from a physician practice, and about $145 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 8 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$138$110 to $195
FacilityA hospital or hospital-owned outpatient department$145$123 to $288

How much rates vary

Facilitymedian $145 · 10th to 90th $95 to $479Professionalmedian $138 · 10th to 90th $91 to $245
$100$200$500$1Kfacility $145professional $138

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
$93.33
Median
$141.25
Typical High
$144.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$128.82
Typical High
$245.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$125.89
Typical High
$218.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$234.42
Typical High
$295.12
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$204.17
Typical High
$245.47
Medica
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$239.88
Typical High
$933.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$128.82
Typical High
$323.59
Midlands
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$251.19
Typical High
$524.81
Midlands
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Midlands
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$269.15
Typical High
$426.58
United
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$199.53
Typical High
$389.05
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$97.72
Typical High
$245.47
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$186.21
Typical High
$186.21

Where Iowa 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.

Iowa· 17th 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.