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Ankle-Foot Orthosis, Double Upright, Solid Stirrup

Hawaii rates for HCPCS L1990

Ankle-foot orthosis (AFO), double upright free plantar dorsiflexion, solid stirrup, calf band/cuff (double bar 'BK' orthosis), custom fabricated

Rates data updated July 2026.

How much does Ankle-Foot Orthosis, Double Upright, Solid Stirrup cost?

$933

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $933 for this service. Most negotiated rates run $372 to $933.

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 $316 · 10th to 90th $245 to $724Professionalmedian $933 · 10th to 90th $204 to $977
$200$500$1Kfacility $316professional $933

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
$204.17
Median
$204.17
Typical High
$288.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$724.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$851.14
Typical High
$1,148.15
HMSA
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$977.24
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$933.25
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$316.23
Typical High
$331.13
United
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$416.87
Typical High
$1,148.15

Where Hawaii sits

The same service costs 4.6 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

$933

HI $933DC $204

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.