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

Nebraska 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?

$93.33

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $93.33 for this service. The price depends on where it is billed: about $93.33 from a physician practice, and about $200 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 7 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$93.33$93.33 to $112
FacilityA hospital or hospital-owned outpatient department$200$126 to $219

How much rates vary

Facilitymedian $200 · 10th to 90th $98 to $933Professionalmedian $93 · 10th to 90th $78 to $204
$100$200$500$1Kfacility $200professional $93

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
$123.03
Median
$123.03
Typical High
$123.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$93.33
Typical High
$162.18
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$151.36
Typical High
$489.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$186.21
Typical High
$190.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$125.89
Typical High
$218.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$234.42
Typical High
$407.38
Medica
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$213.80
Typical High
$933.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$97.72
Typical High
$199.53
Midlands
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$524.81
Midlands
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Midlands
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$489.78
Typical High
$524.81
United
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$199.53
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$97.72
Typical High
$162.18

Where Nebraska 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.

Nebraska· 50th of 51

$93.33

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.