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Nationwide rates for HCPCS L4360

Walking Boot Pneumatic And/Or Vacuum With Or Without Joints With Or Without Interface Materialprefabricated Item That Has Been Trimmed Bent Molded Assembled Or Otherwise Customized To Fit A Specific Patient By An Individual With Expertise(Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.69 / $176.67 / $275.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.41 / $187.34 / $290.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.97 / $363.95 / $647.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.42 / $189.42 / $256.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.69 / $194.92 / $205.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.29 / $184.69 / $207.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.69 / $157.34 / $260.51