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Montana rates for HCPCS L4392

Replacement, soft interface material, static AFO

Facilitymedian $28 · 10th–90th $17$350%20%10th90th$28Professionalmedian $17 · 10th–90th $9$350%10%10th90th$17$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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $15.49 / $22.91
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $27.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $29.51 / $29.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $29.51 / $29.51
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $27.54 / $53.70
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $27.54 / $53.70
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $26.30 / $33.88
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $29.51 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $13.49 / $15.85
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $12.59 / $19.50