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

New Mexico 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?

$155

Typical negotiated rate. In New Mexico, October 2026.

Insurers have agreed to pay about $155 for this service. The price depends on where it is billed: about $155 from a physician practice, and about $955 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$155$102 to $195
FacilityA hospital or hospital-owned outpatient department$955$132 to $1,622

How much rates vary

Facilitymedian $955 · 10th to 90th $126 to $2,399Professionalmedian $155 · 10th to 90th $89 to $240
$100$200$500$1K$2Kfacility $955professional $155

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Aetna
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$154.88
Typical High
$154.88
Ambetter
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$169.82
Typical High
$177.83
BCBS New Mexico
Setting
Facility
Modifier
None
Typical Low
$446.68
Median
$1,548.82
Typical High
$2,454.71
BCBS New Mexico
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$162.18
Typical High
$194.98
Cigna
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$93.33
Typical High
$125.89
Molina
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$295.12
Typical High
$446.68
Providence
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$131.83
Typical High
$131.83
Providence
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$93.33
Typical High
$204.17
United
Setting
Facility
Modifier
None
Typical Low
$208.93
Median
$208.93
Typical High
$245.47
United
Setting
Professional
Modifier
None
Typical Low
$85.11
Median
$89.13
Typical High
$141.25

Where New Mexico 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.

New Mexico· 17th of 51

$155

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.