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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.

Facilitymedian $363 · 10th–90th $174$1,6600%20%10th90th$363Professionalmedian $204 · 10th–90th $112$2340%50%10th90th$204$0.2$1.0$5.0$20.0$100.0$500.0$2.0K

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
$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