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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 October 2026.

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

$676

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $676 for this service. Most negotiated rates run $525 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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $525 · 10th to 90th $417 to $525Professionalmedian $676 · 10th to 90th $447 to $724
$500facility $525professional $676

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
Professional
Modifier
None
Typical Low
$223.87
Median
$389.05
Typical High
$389.05
Cigna
Setting
Facility
Modifier
None
Typical Low
$416.87
Median
$524.81
Typical High
$524.81
Cigna
Setting
Professional
Modifier
None
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
HMSA
Setting
Professional
Modifier
None
Typical Low
$676.08
Median
$676.08
Typical High
$707.95
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$407.38
Median
$676.08
Typical High
$870.96
United
Setting
Professional
Modifier
None
Typical Low
$457.09
Median
$724.44
Typical High
$724.44
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$446.68
Typical High
$446.68

Where Hawaii sits

The same service costs 2.2 times more in Montana than in Delaware. 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· 3rd of 51

$676

MT $692DE $309

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.