go back

Rhode Island rates for HCPCS L4392

Replacement, soft interface material, static AFO

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.62 / $15.18 / $17.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.85 / $55.18 / $65.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.27 / $16.27 / $26.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.80 / $15.80 / $16.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $15.80 / $15.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.29 / $14.71 / $24.02