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Washington rates for HCPCS L4392

Replacement, soft interface material, static AFO

Facilitymedian $28 · 10th–90th $18$680%20%10th90th$28Professionalmedian $18 · 10th–90th $12$420%10%10th90th$18$0.2$1.0$5.0$20.0$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
$18.20
Median
$18.20
Typical High
$43.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$15.14
Typical High
$23.99
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$26.30
Typical High
$26.30
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$23.44
Typical High
$30.20
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
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$35.48
Typical High
$75.86
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$33.11
Typical High
$58.88
Molina
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$27.54
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$26.30
Typical High
$27.54
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$26.92
Typical High
$30.20
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$39.81
Typical High
$54.95
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$22.39
Typical High
$26.30
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$26.30
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$23.44
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$41.69
Typical High
$41.69
United
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$13.49
Typical High
$23.99
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$23.44
Typical High
$41.69