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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.

Facilitymedian $195 · 10th–90th $89$1,4790%20%10th90th$195Professionalmedian $182 · 10th–90th $89$2570%20%10th90th$182$0.2$2.0$20.0$200.0$2.0K$20.0K

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
$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