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Replacement Soft Interface for Static AFO

Montana rates for HCPCS L4392

Replacement, soft interface material, static AFO

Rates data updated July 2026.

Facilitymedian $28 · 10th–90th $17$350%20%10th90th$28Professionalmedian $23 · 10th–90th $9$790%10%20%10th90th$23$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$14.79
Typical High
$117.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$27.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$29.51
Typical High
$29.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$29.51
Typical High
$29.51
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$27.54
Typical High
$53.70
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$27.54
Typical High
$53.70
Providence
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$26.30
Typical High
$33.88
Providence
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$29.51
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$13.49
Typical High
$15.85
United
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$12.59
Typical High
$19.50