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Nebraska rates for HCPCS L4392

Replacement, soft interface material, static AFO

Facilitymedian $29 · 10th–90th $13–$1320%20%10th90th$29Professionalmedian $17 · 10th–90th $9–$720%10%20%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
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $16.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $16.98 / $117.49
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $26.30 / $26.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $33.11 / $48.98
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $29.51 / $131.83
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $13.49 / $26.92
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $30.20 / $72.44
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $67.61 / $72.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $14.79 / $29.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $13.49 / $21.38