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Replacement Soft Interface for Static AFO

New Hampshire rates for HCPCS L4392

Replacement, soft interface material, static AFO

Rates data updated July 2026.

Facilitymedian $30 · 10th–90th $16$360%20%10th90th$30Professionalmedian $17 · 10th–90th $12$250%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
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$19.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$16.22
Typical High
$19.50
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$31.62
Typical High
$36.31
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$15.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$21.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$15.85
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$46.77
United
Setting
Facility
Modifier
Global
Typical Low
$7.76
Median
$13.18
Typical High
$15.85
United
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$16.98
Typical High
$25.12
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$36.31