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New Jersey rates for HCPCS L4392

Replacement, soft interface material, static AFO

Facilitymedian $10 · 10th–90th $9–$280%50%10th90th$10Professionalmedian $14 · 10th–90th $10–$280%10%10th90th$14$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.88 / $19.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $28.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $15.85
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $25.70 / $38.02
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $27.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $13.49 / $29.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $14.45 / $26.92