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Prosthetic Foot, Single Axis Ankle and Flexible Keel

Hawaii rates for HCPCS L5975

All lower extremity prostheses, combination single axis ankle and flexible keel foot

Rates data updated October 2026.

How much does Prosthetic Foot, Single Axis Ankle and Flexible Keel cost?

$562

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $562 for this service. Most negotiated rates run $339 to $603.

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 $437 · 10th to 90th $363 to $437Professionalmedian $562 · 10th to 90th $339 to $603
$200$500facility $437professional $562

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
$199.53
Median
$199.53
Typical High
$199.53
Cigna
Setting
Facility
Modifier
None
Typical Low
$363.08
Median
$436.52
Typical High
$436.52
Cigna
Setting
Professional
Modifier
None
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
HMSA
Setting
Professional
Modifier
None
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$562.34
Typical High
$724.44
United
Setting
Professional
Modifier
None
Typical Low
$380.19
Median
$602.56
Typical High
$602.56
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$338.84
Typical High
$338.84

Where Hawaii sits

The same service costs 2.2 times more in Montana 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· 5th of 51

$562

MT $575DE $263

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.