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Michigan rates for HCPCS L4392

Replacement, soft interface material, static AFO

Facilitymedian $35 · 10th–90th $14–$1150%20%10th90th$35Professionalmedian $15 · 10th–90th $12–$280%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
$15.85 / $15.85 / $15.85
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $14.13 / $19.05
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $85.11 / $162.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $29.51
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $18.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $15.85
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $15.85 / $30.90
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $53.70 / $60.26
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $22.91 / $34.67
Priority Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $15.85
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $19.95 / $28.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $22.91 / $34.67
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $13.18 / $19.95