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Indiana 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

Facilitymedian $204 · 10th–90th $100–$2630%20%40%10th90th$204Professionalmedian $112 · 10th–90th $89–$2140%20%40%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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $107.15 / $213.80
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $154.88 / $181.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $204.17 / $257.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $120.23 / $213.80
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $257.04 / $281.84
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $251.19 / $281.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $107.15 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $93.33 / $213.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $112.20 / $165.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $100.00 / $158.49