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Washington, DC 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
$141.88 / $175.18 / $175.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.88 / $141.88 / $187.34
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.00 / $186.00 / $186.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.29 / $142.29 / $142.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.33 / $225.33 / $688.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.30 / $172.94 / $363.78