go back

Replacement Soft Interface for Static AFO

Texas rates for HCPCS L4392

Replacement, soft interface material, static AFO

Rates data updated July 2026.

Facilitymedian $21 · 10th–90th $13$790%10%20%10th90th$21Professionalmedian $13 · 10th–90th $11$200%50%10th90th$13$0.0$0.2$2.0$20.0$200.0$2.0K

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
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$13.18
Typical High
$16.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$13.49
Typical High
$18.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,548.13
Typical High
$4,786.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$13.49
Typical High
$13.49
Christus
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$79.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$39.81
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
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$21.88
Typical High
$37.15
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$26.30
Typical High
$28.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$19.95
Providence
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$21.38
Typical High
$37.15
Providence
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$15.85
United
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$23.44
Typical High
$29.51
United
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$15.14
Typical High
$18.20
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$28.84
Typical High
$38.90