go back

Iowa rates for HCPCS L4392

Replacement, soft interface material, static AFO

Facilitymedian $27 · 10th–90th $14–$760%20%10th90th$27Professionalmedian $15 · 10th–90th $11–$300%20%10th90th$15$0.0$0.1$0.5$2.0$10.0$50.0

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
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $19.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $14.13 / $23.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $33.11 / $41.69
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $30.90 / $33.88
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $33.88 / $131.83
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $16.60 / $45.71
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $30.90 / $38.02
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $45.71 / $45.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $27.54 / $67.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $13.49 / $25.70
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $25.70 / $25.70