go back

Ankle-Foot Orthosis, Single Upright with Stop

Hawaii rates for HCPCS L1920

Ankle-foot orthosis (AFO), single upright with static or adjustable stop (Phelps or Perlstein type), custom fabricated

Rates data updated October 2026.

How much does Ankle-Foot Orthosis, Single Upright with Stop cost?

$398

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $398 for this service. Most negotiated rates run $275 to $417.

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 $309 · 10th to 90th $245 to $309Professionalmedian $398 · 10th to 90th $245 to $427
$500facility $309professional $398

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
$144.54
Median
$144.54
Typical High
$144.54
Cigna
Setting
Facility
Modifier
None
Typical Low
$245.47
Median
$309.03
Typical High
$309.03
Cigna
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$426.58
Typical High
$426.58
HMSA
Setting
Professional
Modifier
None
Typical Low
$398.11
Median
$398.11
Typical High
$416.87
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$398.11
Typical High
$524.81
United
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$426.58
Typical High
$426.58
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$245.47
Typical High
$245.47

Where Hawaii sits

The same service costs 2.9 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· 11th of 51

$398

MT $513DE $178

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.