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

Louisiana 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?

$117

Typical negotiated rate. In Louisiana, July 2026.

Insurers have agreed to pay about $117 for this service. The price depends on where it is billed: about $112 from a physician practice, and about $158 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 6 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$112$95.50 to $141
FacilityA hospital or hospital-owned outpatient department$158$117 to $263

How much rates vary

Facilitymedian $158 · 10th to 90th $110 to $347Professionalmedian $112 · 10th to 90th $89 to $158
$1.0$10.0$100.0$1.0Kfacility $158professional $112

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
$117.49
Median
$117.49
Typical High
$117.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$112.20
Typical High
$186.21
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$154.88
Typical High
$218.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$302.00
Typical High
$416.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Christus
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$125.89
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$128.82
United
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$165.96
Typical High
$245.47
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$95.50
Typical High
$141.25

Where Louisiana sits

The same service costs 2.5 times more in Minnesota than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Louisiana $117 · 27th of 51
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.