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Replacement Soft Interface for Static AFO

North Dakota rates for HCPCS L4392

Replacement, soft interface material, static AFO

Rates data updated July 2026.

Facilitymedian $20 · 10th–90th $19$410%50%10th90th$20Professionalmedian $26 · 10th–90th $15$350%10%10th90th$26$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
Facility
Modifier
Global
Typical Low
$19.50
Median
$20.42
Typical High
$20.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$19.50
Typical High
$104.71
BCBS
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$30.90
Typical High
$33.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$15.85
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$33.11
Typical High
$41.69
Medica
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$23.99
Typical High
$131.83
Medica
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$12.59
Typical High
$28.18
United
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$12.59
Typical High
$41.69
United
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$19.50
Typical High
$33.11