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

Massachusetts 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?

$182

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $182 for this service. The price depends on where it is billed: about $182 from a physician practice, and about $195 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 9 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$182$105 to $182
FacilityA hospital or hospital-owned outpatient department$195$89.13 to $490

How much rates vary

Facilitymedian $195 · 10th to 90th $89 to $1,479Professionalmedian $182 · 10th to 90th $89 to $257
$100$200$500$1K$2K$5Kfacility $195professional $182

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
$89.13
Median
$89.13
Typical High
$89.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$112.20
Typical High
$281.84
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$213.80
Typical High
$954.99
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$158.49
Typical High
$239.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$1,479.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$199.53
Typical High
$245.47
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
$134.90
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$269.15
Health New England
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$128.82
Typical High
$128.82
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$213.80
Typical High
$954.99
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$158.49
Typical High
$239.88
United
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$114.82
Typical High
$245.47
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$173.78
Typical High
$194.98

Where Massachusetts 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.

Massachusetts· 5th of 51

$182

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.