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Replacement Soft Interface for Static AFO

Utah rates for HCPCS L4392

Replacement, soft interface material, static AFO

Rates data updated July 2026.

Facilitymedian $13 · 10th–90th $8$280%20%40%10th90th$13Professionalmedian $16 · 10th–90th $8$1170%10%10th90th$16$10.0$20.0$50.0$100.0

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
$8.13
Median
$8.13
Typical High
$8.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$12.88
Typical High
$117.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$15.85
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$15.85
Molina
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$20.42
Typical High
$30.20
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$28.18
Typical High
$28.18
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$19.95
Typical High
$30.20
Select Health
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$28.84
Select Health
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$27.54
Typical High
$28.84
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$28.84
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$12.59
Typical High
$15.85
United
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$12.59
Typical High
$19.50