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Replacement Soft Interface for Static AFO

Massachusetts rates for HCPCS L4392

Replacement, soft interface material, static AFO

Rates data updated July 2026.

Facilitymedian $42 · 10th–90th $13$680%20%40%10th90th$42Professionalmedian $25 · 10th–90th $13$380%20%40%10th90th$25$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

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
$12.59
Median
$12.59
Typical High
$12.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$14.13
Typical High
$43.65
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$28.18
Typical High
$134.90
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$22.39
Typical High
$35.48
BCBS
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$43.65
Typical High
$57.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$16.60
Typical High
$20.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$16.98
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$38.02
Health New England
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$28.18
Typical High
$134.90
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$22.39
Typical High
$35.48
United
Setting
Facility
Modifier
Global
Typical Low
$9.55
Median
$15.49
Typical High
$34.67
United
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$23.44
Typical High
$27.54