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

Minnesota 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?

$204

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $204 for this service. The price depends on where it is billed: about $204 from a physician practice, and about $363 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$204$162 to $204
FacilityA hospital or hospital-owned outpatient department$363$204 to $759

How much rates vary

Facilitymedian $363 · 10th to 90th $174 to $1,660Professionalmedian $204 · 10th to 90th $112 to $234
$100$200$500$1K$2Kfacility $363professional $204

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
$141.25
Median
$141.25
Typical High
$141.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$123.03
Typical High
$213.80
BCBS
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$204.17
Typical High
$295.12
BCBS
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$204.17
Typical High
$204.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$758.58
Typical High
$2,089.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$269.15
Typical High
$295.12
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$831.76
Typical High
$1,659.59
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$316.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$204.17
Typical High
$933.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$97.72
Typical High
$213.80
United
Setting
Facility
Modifier
Global
Typical Low
$1.45
Median
$89.13
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$104.71
Typical High
$338.84

Where Minnesota 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.

Minnesota· 1st of 51

$204

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.