go back

Wisconsin rates for HCPCS L4392

Replacement, soft interface material, static AFO

Facilitymedian $29 · 10th–90th $23$520%20%40%10th90th$29Professionalmedian $18 · 10th–90th $12$440%20%10th90th$18$0.0$0.1$0.5$2.0$10.0$50.0

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $14.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $14.13 / $19.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $47.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $32.36
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $66.07 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $41.69 / $54.95
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $23.44 / $35.48
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $38.02 / $47.86
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $28.18 / $131.83
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $14.79 / $31.62
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $58.88 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $45.71 / $45.71
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $32.36 / $56.23
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $43.65 / $79.43
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $57.54 / $131.83
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $22.91 / $141.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $14.79 / $28.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $14.13 / $23.99