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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 July 2026.

How much does Ankle-Foot Orthosis, Prefabricated cost?

$457

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $457 for this service. Most negotiated rates run $158 to $457.

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 $166 · 10th to 90th $132 to $355Professionalmedian $457 · 10th to 90th $155 to $479
$100$200$500facility $166professional $457

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
$91.20
Median
$158.49
Typical High
$158.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$354.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$416.87
Typical High
$562.34
HMSA
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$478.63
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$457.09
Typical High
$645.65
United
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$165.96
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$223.87
Typical High
$562.34

Where Hawaii sits

The same service costs 4.2 times more in Hawaii than in Washington, DC. 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 $457DC $110

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.