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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 July 2026.

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

$155

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $155 for this service. The price depends on where it is billed: about $132 from a physician practice, and about $933 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$132$102 to $162
FacilityA hospital or hospital-owned outpatient department$933$170 to $1,995

How much rates vary

Facilitymedian $933 · 10th to 90th $100 to $2,512Professionalmedian $132 · 10th to 90th $85 to $204
$100$1K$10Kfacility $933professional $132

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
$100.00
Median
$100.00
Typical High
$100.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$112.20
Typical High
$204.17
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
BCBS
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$1,584.89
Typical High
$2,691.53
BCBS
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$162.18
Typical High
$194.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$295.12
Molina
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$295.12
Typical High
$446.68
Providence
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$131.83
Typical High
$218.78
Providence
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$204.17
United
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$97.72
Typical High
$245.47
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$89.13
Typical High
$141.25

Where New Mexico 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.

New Mexico· 11th of 51

$155

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.