go back

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

Oklahoma 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 $98 · 10th–90th $93$2400%20%40%10th90th$98Professionalmedian $120 · 10th–90th $89$1780%20%10th90th$120$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
$93.33
Median
$95.50
Typical High
$95.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$95.50
Typical High
$204.17
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$275.42
BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$125.89
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$213.80
Medica
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$131.83
Typical High
$630.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$97.72
Typical High
$245.47
United
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$165.96
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$91.20
Typical High
$141.25