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Colorado 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
$124.80 / $158.60 / $482.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.48 / $187.35 / $234.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.62 / $378.23 / $686.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.42 / $189.42 / $204.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.69 / $194.92 / $194.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.29 / $142.29 / $333.79
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.47 / $188.51 / $420.78
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.47 / $100.47 / $100.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.73 / $420.78 / $666.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.30 / $155.62 / $223.26