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

Idaho 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?

$138

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $138 for this service. The price depends on where it is billed: about $132 from a physician practice, and about $186 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$132$112 to $186
FacilityA hospital or hospital-owned outpatient department$186$170 to $195

How much rates vary

Facilitymedian $186 · 10th to 90th $126 to $214Professionalmedian $132 · 10th to 90th $81 to $219
$100$200$500facility $186professional $132

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
Professional
Modifier
Global
Typical Low
$81.28
Median
$120.23
Typical High
$213.80
BCBS
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$186.21
Typical High
$281.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$218.78
Typical High
$218.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$134.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$125.89
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$186.21
Typical High
$208.93
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$186.21
Typical High
$199.53
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$141.25
Typical High
$169.82
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$190.55
Typical High
$190.55
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$218.78
Select Health
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$512.86
Select Health
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$186.21
Typical High
$218.78
United
Setting
Facility
Modifier
Global
Typical Low
$0.14
Median
$97.72
Typical High
$112.20
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$89.13
Typical High
$141.25

Where Idaho 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.

Idaho· 18th of 51

$138

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.