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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 October 2026.

How much does Static or Dynamic Ankle-Foot Orthosis, Off-the-Shelf cost?

$191

Typical negotiated rate. In North Dakota, October 2026.

Insurers have agreed to pay about $191 for this service. The price depends on where it is billed: about $191 from a physician practice, and about $145 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$191$141 to $224
FacilityA hospital or hospital-owned outpatient department$145$145 to $162

How much rates vary

Facilitymedian $145 · 10th to 90th $141 to $363Professionalmedian $191 · 10th to 90th $89 to $234
$100$200$500$1Kfacility $145professional $191

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$141.25
Typical High
$144.54
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$223.87
Typical High
$223.87
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$204.17
Median
$269.15
Typical High
$269.15
Cigna
Setting
Facility
Modifier
None
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Cigna
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$234.42
Typical High
$295.12
Medica
Setting
Facility
Modifier
None
Typical Low
$141.25
Median
$154.88
Typical High
$436.52
Medica
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$100.00
Typical High
$162.18
United
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$100.00
Typical High
$162.18

Where North Dakota sits

The same service costs 2.1 times more in Hawaii than in Delaware. 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.

North Dakota· 6th of 51

$191

HI $200DE $93.33

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.