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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

Facilitymedian $316 · 10th–90th $245–$7240%50%10th90th$316Professionalmedian $380 · 10th–90th $245–$9330%20%10th90th$380$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $288.40 / $389.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $316.23 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $851.14 / $1,148.15
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $933.25 / $977.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $933.25 / $1,071.52
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $316.23 / $323.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $380.19 / $1,000.00