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Walking Boot, Pneumatic or Vacuum, Custom Fitted

Hawaii 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

Rates data updated July 2026.

How much does Walking Boot, Pneumatic or Vacuum, Custom Fitted cost?

$186

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $186 for this service. The price depends on where it is billed: about $186 from a physician practice, and about $214 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$186$162 to $398
FacilityA hospital or hospital-owned outpatient department$214$186 to $214

How much rates vary

Facilitymedian $214 · 10th to 90th $155 to $214Professionalmedian $186 · 10th to 90th $83 to $398
$100$200$500facility $214professional $186

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$177.83
Typical High
$186.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$194.98
Typical High
$309.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$371.54
Typical High
$489.78
HMSA
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$416.87
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$398.11
Typical High
$562.34
United
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$194.98
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$257.04
Typical High
$489.78

Where Hawaii sits

The same service costs 2.4 times more in Massachusetts than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Hawaii· 32nd of 51

$186

MA $363TX $151

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.