go back

Hawaii rates for HCPCS L1907

Ankle orthosis (AO), supramalleolar with straps, with or without interface/pads, custom fabricated

Facilitymedian $389 · 10th–90th $302$5250%20%10th90th$389Professionalmedian $398 · 10th–90th $288$7080%10%10th90th$398$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $346.74 / $467.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $416.87 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $616.60 / $831.76
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $676.08 / $707.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $676.08 / $776.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $380.19 / $389.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $457.09 / $724.44