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Illinois rates for HCPCS L4392

Replacement, soft interface material, static AFO

Facilitymedian $32 · 10th–90th $14$1450%20%10th90th$32Professionalmedian $15 · 10th–90th $12$290%20%10th90th$15$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $28.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $14.13 / $25.12
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $52.48 / $194.98
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $21.38 / $21.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $19.05
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $30.20
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $33.11 / $42.66
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $37.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $22.91 / $41.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $14.13 / $23.44