go back

Alabama rates for HCPCS L4360

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.97 / $298.92 / $298.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.50 / $187.35 / $298.92
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.83 / $206.83 / $331.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.50 / $212.50 / $212.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.69 / $194.92 / $311.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.29 / $194.92 / $273.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.75 / $155.62 / $238.14