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Replacement Soft Interface for Static AFO

Wisconsin rates for HCPCS L4392

Replacement, soft interface material, static AFO

Rates data updated July 2026.

Facilitymedian $29 · 10th–90th $21$580%20%40%10th90th$29Professionalmedian $27 · 10th–90th $14$480%20%10th90th$27$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
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$14.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$25.70
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$47.86
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$26.92
Typical High
$32.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$66.07
Typical High
$147.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$41.69
Typical High
$54.95
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$23.44
Typical High
$35.48
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$38.02
Typical High
$47.86
Medica
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$28.18
Typical High
$131.83
Medica
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$14.79
Typical High
$31.62
Molina
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$58.88
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Network Health
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$32.36
Typical High
$56.23
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$23.44
Typical High
$35.48
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$26.92
Typical High
$28.18
Quartz
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$43.65
Typical High
$75.86
Quartz
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$58.88
Typical High
$134.90
Quartz
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$42.66
Typical High
$144.54
Security Health
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$26.30
Typical High
$26.92
United
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$14.79
Typical High
$28.84
United
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$14.13
Typical High
$26.30