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Knee Orthosis, Adjustable Joints, Positional, Off-the-Shelf

Hawaii rates for HCPCS L1833

Knee orthosis (KO), adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf

Rates data updated July 2026.

How much does Knee Orthosis, Adjustable Joints, Positional, Off-the-Shelf cost?

$708

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $708 for this service. Most negotiated rates run $427 to $708.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $427 · 10th to 90th $339 to $676Professionalmedian $708 · 10th to 90th $324 to $741
$500$1Kfacility $427professional $708

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
Professional
Modifier
Global
Typical Low
$302.00
Median
$426.58
Typical High
$426.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$645.65
Typical High
$891.25
HMSA
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$741.31
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$707.95
Typical High
$1,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$346.74
Typical High
$426.58
United
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$575.44
Typical High
$1,047.13

Where Hawaii sits

The same service costs 3.0 times more in Hawaii 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.

Hawaii· 1st of 51

$708

HI $708DC $234

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.