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Walking Boot, Pneumatic or Vacuum, Custom Fitted

Illinois 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?

$204

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $204 for this service. The price depends on where it is billed: about $200 from a physician practice, and about $316 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 7 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$200$162 to $269
FacilityA hospital or hospital-owned outpatient department$316$178 to $417

How much rates vary

Facilitymedian $316 · 10th to 90th $162 to $977Professionalmedian $200 · 10th to 90th $155 to $355
$20$50$100$200$500$1K$2Kfacility $316professional $200

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$229.09
Typical High
$389.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$186.21
Typical High
$338.84
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$213.80
Typical High
$239.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$602.56
Typical High
$2,137.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$239.88
Typical High
$239.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$194.98
Typical High
$208.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$346.74
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$346.74
Typical High
$446.68
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$251.19
United
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$257.04
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$173.78
Typical High
$549.54

Where Illinois 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.

Illinois· 20th of 51

$204

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.