go back

Replacement Soft Interface for Static AFO

Idaho rates for HCPCS L4392

Replacement, soft interface material, static AFO

Rates data updated July 2026.

Facilitymedian $26 · 10th–90th $14$350%20%40%10th90th$26Professionalmedian $19 · 10th–90th $11$300%20%10th90th$19$0.0$0.1$0.5$2.0$10.0$50.0$200.0

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
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$16.22
Typical High
$23.99
BCBS
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$26.30
Typical High
$44.67
BCBS
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$30.20
Typical High
$30.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$16.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$15.85
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$25.12
Typical High
$28.84
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$26.30
Typical High
$27.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$23.44
Typical High
$30.20
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$26.30
Typical High
$26.30
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$30.20
Select Health
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$28.18
Typical High
$41.69
Select Health
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$26.30
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$0.02
Median
$13.49
Typical High
$15.85
United
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$12.59
Typical High
$18.20