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Maine rates for HCPCS L4392

Replacement, soft interface material, static AFO

Facilitymedian $30 · 10th–90th $13–$360%20%10th90th$30Professionalmedian $16 · 10th–90th $12–$260%20%10th90th$16$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $15.14 / $44.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $33.88 / $38.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $19.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $21.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $15.85
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $30.20
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $15.85 / $16.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $12.59 / $13.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $24.55 / $25.12