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Ankle-Foot Orthosis, Spring Wire, Custom Fabricated

Hawaii rates for HCPCS L1900

Ankle-foot orthosis (AFO), spring wire, dorsiflexion assist calf band, custom fabricated

Rates data updated July 2026.

How much does Ankle-Foot Orthosis, Spring Wire, Custom Fabricated cost?

$372

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $372 for this service. Most negotiated rates run $204 to $372.

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 $191 · 10th to 90th $151 to $288Professionalmedian $372 · 10th to 90th $102 to $389
$100$200$500facility $191professional $372

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
$102.33
Median
$102.33
Typical High
$177.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$288.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$338.84
Typical High
$457.09
HMSA
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$389.05
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$371.54
Typical High
$524.81
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$199.53
United
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$251.19
Typical High
$457.09

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

$372

HI $372DC $123

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.