go back

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

West Virginia 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?

$102

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $102 for this service. The price depends on where it is billed: about $100 from a physician practice, and about $102 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 4 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$100$95.50 to $112
FacilityA hospital or hospital-owned outpatient department$102$102 to $126

How much rates vary

Facilitymedian $102 · 10th to 90th $102 to $275Professionalmedian $100 · 10th to 90th $81 to $138
$100$200$500$1Kfacility $102professional $100

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$97.72
Typical High
$112.20
CareSource
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$275.42
Typical High
$281.84
CareSource
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$245.47
Typical High
$338.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$281.84
Typical High
$281.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$977.24
United
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$89.13
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$120.23
Typical High
$186.21

Where West Virginia 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.

West Virginia· 45th of 51

$102

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.