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

Kentucky 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?

$115

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $115 for this service. The price depends on where it is billed: about $115 from a physician practice, and about $141 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$115$105 to $158
FacilityA hospital or hospital-owned outpatient department$141$105 to $275

How much rates vary

Facilitymedian $141 · 10th to 90th $91 to $282Professionalmedian $115 · 10th to 90th $95 to $224
$100$200$500facility $141professional $115

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
$104.71
Median
$104.71
Typical High
$107.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$109.65
Typical High
$245.47
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$154.88
Typical High
$165.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$208.93
Typical High
$218.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$158.49
Typical High
$158.49
CareSource
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$275.42
Typical High
$354.81
CareSource
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$257.04
Typical High
$323.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$281.84
Typical High
$281.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$165.96
Typical High
$977.24
Molina
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$165.96
Typical High
$213.80
United
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$89.13
Typical High
$112.20
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$100.00
Typical High
$173.78

Where Kentucky 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.

Kentucky· 33rd of 51

$115

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.