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

North Dakota 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 $145 · 10th–90th $141$2450%50%10th90th$145Professionalmedian $166 · 10th–90th $112$2340%10%10th90th$166$100.0$200.0$500.0$1.0K

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
$144.54
Typical High
$144.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$141.25
Typical High
$213.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$218.78
Typical High
$245.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$234.42
Typical High
$295.12
Medica
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$162.18
Typical High
$436.52
Medica
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$100.00
Typical High
$199.53
United
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$151.36
Typical High
$239.88