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Alaska rates for HCPCS L4392

Replacement, soft interface material, static AFO

Facilitymedian $15 · 10th–90th $8–$280%20%40%10th90th$15Professionalmedian $16 · 10th–90th $13–$370%20%10th90th$16$10.0$20.0$50.0$100.0

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $15.85 / $23.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $15.85
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $30.20
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $20.42 / $27.54
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $26.30 / $89.13
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $26.30 / $27.54
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $26.30 / $27.54
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $28.84
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $19.95 / $60.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $13.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $19.50 / $67.61