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Missouri rates for HCPCS L4392

Replacement, soft interface material, static AFO

Facilitymedian $22 · 10th–90th $14$580%20%10th90th$22Professionalmedian $15 · 10th–90th $11$250%20%40%10th90th$15$0.0$0.1$0.5$2.0$10.0$50.0

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 / $15.85
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $14.13 / $23.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $97.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $15.49 / $25.70
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $27.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $16.60
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $15.85
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $21.88 / $131.83
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $13.49 / $141.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $22.39 / $22.39
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $13.18 / $20.89