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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
$275.42 / $275.42 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $186.21 / $524.81
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $239.88 / $380.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $213.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $194.98 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $363.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $181.97 / $426.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $151.36 / $234.42