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Ankle Orthosis, Supramalleolar, Custom Fabricated

Hawaii rates for HCPCS L1907

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

Rates data updated July 2026.

How much does Ankle Orthosis, Supramalleolar, Custom Fabricated cost?

$676

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $676 for this service. Most negotiated rates run $417 to $676.

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 $398 · 10th to 90th $302 to $525Professionalmedian $676 · 10th to 90th $224 to $708
$500.0$1.0Kfacility $398professional $676

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
$223.87
Median
$346.74
Typical High
$346.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$524.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$616.60
Typical High
$831.76
HMSA
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$707.95
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$676.08
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$380.19
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$457.09
Typical High
$831.76

Where Hawaii sits

The same service costs 2.5 times more in Minnesota than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Hawaii $676 · 2nd of 51
MN $676DC $269

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.