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 cost in Indiana
$136
Cash from
$136–$287
Cash range · 10 distinct prices
$103
Insurer rates from
12
Hospitals
Lowest published amounts at each hospital, from each hospital's own price file. Newest file: Mar 2026; each row shows its own date.
Prices by hospital
| Hospital | City | Cash | Insurer from | Data date |
|---|---|---|---|---|
| Indiana University Health Ball Memorial Hospital Inc. | Muncie | $136 | $103 | Mar 2026205 days old |
| Indiana University Health Arnett Inc. | Lafayette | $160 | $122 | Mar 2026205 days old |
| Indiana University Health North Hospital Inc. | Carmel | $182 | $128 | Mar 2026205 days old |
| Indiana University Health West Hospital Inc. | Avon | $182 | $128 | Mar 2026205 days old |
| Indiana University Health Inc. | Indianapolis | $182 | $128 | Mar 2026205 days old |
| Indiana University Health Bloomington Inc. | Bloomington | $158 | $135 | Mar 2026205 days old |
| Indiana University Health Bedford Inc. | Bedford | $183 | $202 | Mar 2026205 days old |
| Indiana University Health White Memorial Hospital Inc. | Monticello | $200 | $202 | Mar 2026205 days old |
| Indiana University Health Jay Inc. | Portland | $287 | $202 | Mar 2026205 days old |
| Indiana University Health Frankfort Inc. | Frankfort | $259 | $202 | Mar 2026205 days old |
| Indiana University Health Tipton Hospital Inc. | Tipton | $241 | $202 | Mar 2026205 days old |
| Indiana University Health Paoli Inc. | Paoli | $246 | $202 | Mar 2026205 days old |
Where this procedure name comes from
This is the HCPCS Level II descriptor published by CMS — a US government work in the public domain.
What the hospitals published for this code, in their own words:
- Beavercreek Medical CenterStatic or dynami afo pre ots
- Berger HospitalStatic or dynami afo pre ots
- Bethesda Hospital Inc.Static or dynami afo pre ots
- Clinton Memorial HospitalStatic or dynami afo pre ots
- Dayton Osteopathic HospitalStatic or dynami afo pre ots
- Doctors HospitalHc Afo Prefab Ots
- Dublin Methodist HospitalHc Afo Prefab Ots
- Fairview HospitalStatic or dynami afo pre ots
- Fort Hamilton HospitalStatic or dynami afo pre ots
- Grady Memorial HospitalHc Afo Prefab Ots
Compare prices near you
See published prices for this procedure near your ZIP, for your insurer or for cash, with the source and date of each.
Price it for me →Estimates from published hospital rates — not your exact bill.