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

Oregon 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 Oregon, 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 $191 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 8 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$112 to $195
FacilityA hospital or hospital-owned outpatient department$191$191 to $195

How much rates vary

Facilitymedian $191 · 10th to 90th $148 to $200Professionalmedian $132 · 10th to 90th $91 to $240
$1.0$10.0$100.0$1.0Kfacility $191professional $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
Professional
Modifier
Global
Typical Low
$91.20
Median
$117.49
Typical High
$245.47
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
$93.33
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$398.11
Typical High
$478.63
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$147.91
Typical High
$199.53
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$177.83
Typical High
$218.78
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$194.98
Typical High
$194.98
Providence
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$165.96
Typical High
$218.78
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$169.82
Typical High
$204.17
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$199.53
Typical High
$758.58
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$218.78
Typical High
$218.78
United
Setting
Facility
Modifier
Global
Typical Low
$0.14
Median
$89.13
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$89.13
Typical High
$169.82

Where Oregon sits

The same service costs 2.5 times more in Minnesota than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Oregon $155 · 10th of 51
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.