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Massachusetts 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
$119.04 / $181.73 / $294.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.33 / $187.35 / $749.41
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.19 / $781.56 / $1,728.76
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.37 / $260.19 / $406.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$441.46 / $537.09 / $691.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.66 / $281.26 / $281.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.92 / $240.58 / $291.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.29 / $194.92 / $320.76
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.75 / $336.75 / $353.59
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.80 / $114.80 / $118.15
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.70 / $210.56 / $210.56
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$633.24 / $1,728.76 / $1,728.76
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.33 / $207.50 / $406.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.65 / $207.50 / $336.75