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New York rates for HCPCS L4392

Replacement, soft interface material, static AFO

Facilitymedian $22 · 10th–90th $12$510%20%40%10th90th$22Professionalmedian $15 · 10th–90th $11$410%50%10th90th$15$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

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
$8.91 / $22.39 / $31.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $14.13 / $19.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $56.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $45.71
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $22.91 / $22.91
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $22.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $33.11
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $46.77 / $107.15
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $28.18 / $53.70
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $20.42
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $17.78 / $19.50
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $26.92 / $26.92
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $14.45 / $77.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $18.20 / $47.86
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $17.38 / $20.42
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $17.78 / $19.50