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Pennsylvania rates for HCPCS L4392

Replacement, soft interface material, static AFO

Facilitymedian $35 · 10th–90th $11$440%20%10th90th$35Professionalmedian $14 · 10th–90th $11$230%50%10th90th$14$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
$10.96 / $43.65 / $43.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $14.13 / $19.95
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $24.55 / $28.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $25.12
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
$25.70 / $37.15 / $53.70
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $28.18
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $19.95 / $28.18
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $10.96
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $14.13 / $19.05
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $39.81 / $54.95
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $26.30
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $26.30 / $89.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $34.67 / $39.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $13.80 / $28.18