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North Carolina rates for HCPCS L4392

Replacement, soft interface material, static AFO

Facilitymedian $24 · 10th–90th $12–$580%10%20%10th90th$24Professionalmedian $18 · 10th–90th $12–$240%20%10th90th$18$0.0$0.2$2.0$20.0$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
$23.99 / $23.99 / $23.99
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $16.22 / $23.99
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $23.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.72 / $15.85 / $15.85
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $17.38
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $14.45 / $18.62
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $25.12 / $41.69
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $12.59 / $23.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $14.13 / $19.95
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $134.90 / $134.90
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $144.54 / $208.93