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Replacement Soft Interface for Static AFO

Illinois rates for HCPCS L4392

Replacement, soft interface material, static AFO

Rates data updated July 2026.

Facilitymedian $29 · 10th–90th $14$1450%20%10th90th$29Professionalmedian $18 · 10th–90th $13$290%20%10th90th$18$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
Facility
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$28.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$14.45
Typical High
$28.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$54.95
Typical High
$194.98
BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$21.88
Typical High
$21.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$19.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$30.20
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$33.11
Typical High
$42.66
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
United
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$22.91
Typical High
$28.84
United
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$14.13
Typical High
$24.55