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

Michigan 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 Michigan, 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 $269 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 8 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$112 to $204
FacilityA hospital or hospital-owned outpatient department$269$126 to $398

How much rates vary

Facilitymedian $269 · 10th to 90th $115 to $759Professionalmedian $115 · 10th to 90th $98 to $214
$100$200$500$1Kfacility $269professional $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
$114.82
Median
$269.15
Typical High
$269.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$112.20
Typical High
$213.80
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$151.36
Typical High
$154.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$602.56
Typical High
$1,174.90
BCBS
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$208.93
CareSource
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$245.47
Typical High
$389.05
CareSource
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$281.84
Typical High
$288.40
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
$125.89
Typical High
$223.87
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$186.21
Typical High
$208.93
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$114.82
Typical High
$245.47
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$223.87
United
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$165.96
Typical High
$245.47
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$95.50
Typical High
$158.49

Where Michigan 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.

Michigan· 31st 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.