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Ankle-Foot Orthosis, Prefabricated

Hawaii rates for HCPCS L1930

Ankle-foot orthosis (AFO), plastic or other material, prefabricated, includes fitting and adjustment

Rates data updated October 2026.

How much does Ankle-Foot Orthosis, Prefabricated cost?

$457

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $457 for this service. Most negotiated rates run $282 to $479.

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 $355 · 10th to 90th $191 to $355Professionalmedian $457 · 10th to 90th $282 to $501
$200$500facility $355professional $457

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
$91.20
Median
$158.49
Typical High
$177.83
Cigna
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$354.81
Typical High
$354.81
Cigna
Setting
Professional
Modifier
None
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
HMSA
Setting
Professional
Modifier
None
Typical Low
$457.09
Median
$457.09
Typical High
$478.63
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$457.09
Typical High
$602.56
United
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$501.19
Typical High
$501.19
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$281.84
Typical High
$281.84

Where Hawaii sits

The same service costs 3.5 times more in Hawaii 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· 1st of 51

$457

HI $457DE $129

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.