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Kansas 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
$27.54 / $239.88 / $257.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $186.21 / $380.19
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $234.42 / $309.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $269.15 / $269.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $295.12 / $295.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $194.98 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $363.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $229.09 / $741.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $154.88 / $2,041.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $251.19 / $257.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $154.88 / $218.78