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

Kansas 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 $155 · 10th–90th $110$2000%20%40%10th90th$155Professionalmedian $186 · 10th–90th $98$1860%50%10th$186$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
$27.54
Median
$151.36
Typical High
$151.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$117.49
Typical High
$204.17
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$147.91
Typical High
$213.80
BCBS
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$158.49
Typical High
$169.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
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
$234.42
Medica
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$141.25
Typical High
$467.74
Medica
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$97.72
Typical High
$1,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$158.49
Typical High
$199.53
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$97.72
Typical High
$151.36