go back

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

Maryland 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?

$100

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $100 for this service. Most negotiated rates run $81.28 to $138.

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.

How much rates vary

Facilitymedian $105 · 10th to 90th $69 to $200Professionalmedian $100 · 10th to 90th $81 to $204
$100$200$500facility $105professional $100

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
Professional
Modifier
Global
Typical Low
$81.28
Median
$100.00
Typical High
$204.17
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$138.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$125.89
Typical High
$134.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$199.53
Typical High
$302.00
United
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$91.20
Typical High
$199.53
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$104.71
Typical High
$162.18
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$109.65
Typical High
$120.23

Where Maryland 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.

Maryland· 47th of 51

$100

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.