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Ankle-Foot Orthosis, Custom Fabricated

Hawaii rates for HCPCS L1940

Ankle-foot orthosis (AFO), plastic or other material, custom fabricated

Rates data updated July 2026.

How much does Ankle-Foot Orthosis, Custom Fabricated cost?

$851

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $851 for this service. Most negotiated rates run $331 to $851.

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 $363 · 10th to 90th $275 to $661Professionalmedian $851 · 10th to 90th $240 to $891
$500$1Kfacility $363professional $851

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
$239.88
Median
$302.00
Typical High
$331.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$660.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$776.25
Typical High
$1,047.13
HMSA
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$891.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$851.14
Typical High
$1,202.26
United
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$346.74
Typical High
$363.08
United
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$467.74
Typical High
$1,047.13

Where Hawaii sits

The same service costs 3.7 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

$851

HI $851DC $229

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.