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New Hampshire rates for HCPCS L4392

Replacement, soft interface material, static AFO

Facilitymedian $30 · 10th–90th $16$350%20%10th90th$30Professionalmedian $19 · 10th–90th $12$270%20%10th90th$19$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
$16.22 / $16.22 / $19.50
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $15.85 / $22.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $31.62 / $36.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $15.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $21.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $15.85
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $46.77
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $13.18 / $14.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $16.98 / $25.12
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $36.31