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Below-Knee Amputation With Immediate Cast

Hawaii rates for HCPCS 27881

Removes the leg through the two bones of the lower leg, below the knee, shaping a stump that can later carry an artificial limb. A rigid cast is applied straight away in the operating room to control swelling, protect the stump and allow early fitting of a prosthesis. Keeping the knee joint makes walking with an artificial limb considerably easier.

Rates data updated October 2026.

How much does Below-Knee Amputation With Immediate Cast cost?

$1,023

Typical physician fee. In Hawaii, October 2026.

Insurers have agreed to pay about $1,023 for this service. Most negotiated rates run $933 to $1,288.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,090 · 10th to 90th $2,818 to $7,079Professionalmedian $1,023 · 10th to 90th $30 to $1,380
$50$100$200$500$1K$2K$5Kfacility $3,090professional $1,023

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$912.01
Typical High
$1,071.52
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
HMSA
Setting
Professional
Modifier
None
Typical Low
$1,174.90
Median
$1,318.26
Typical High
$1,380.38
HMSA
Setting
Professional
Modifier
51 · Multiple procedures
Typical Low
$588.84
Median
$660.69
Typical High
$691.83
HMSA
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$199.53
Median
$223.87
Typical High
$234.42
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$812.83
Median
$891.25
Typical High
$1,230.27
United
Setting
Facility
Modifier
None
Typical Low
$3,090.30
Median
$3,801.89
Typical High
$7,079.46
United
Setting
Professional
Modifier
None
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$141.25
Typical High
$1,122.02

Where Hawaii sits

The same service costs 15.8 times more in Alaska than in Texas. 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.

Hawaii· 35th of 51

$1,023

AK $3,388TX $214

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.