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Replacement Soft Interface for Static AFO

Tennessee rates for HCPCS L4392

Replacement, soft interface material, static AFO

Rates data updated July 2026.

Facilitymedian $22 · 10th–90th $13$1350%20%10th90th$22Professionalmedian $13 · 10th–90th $13$240%50%10th90th$13$0.0$0.1$0.5$2.0$10.0$50.0$200.0

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
$12.88
Median
$14.13
Typical High
$22.39
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$13.49
Typical High
$23.99
BCBS
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$23.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$18.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$15.85
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$208.93
Typical High
$208.93
United
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$14.79
Typical High
$28.84
United
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$13.49
Typical High
$18.62