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Delaware 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
Professional
Modifier
Low / Median / High Price
$142.66 / $187.34 / $206.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.69 / $184.69 / $194.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.29 / $142.29 / $194.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.93 / $172.94 / $634.13