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Minnesota 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

Facilitymedian $331 · 10th–90th $79–$1,9500%20%10th90th$331Professionalmedian $309 · 10th–90th $162–$4170%20%40%10th90th$309$0.5$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $79.43 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $213.80 / $575.44
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $309.03 / $407.38
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $309.03 / $309.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $1,174.90 / $2,818.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $416.87 / $457.09
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $1,148.15 / $2,290.87
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $363.08 / $489.78
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $309.03 / $1,621.81
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $154.88 / $363.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.51 / $154.88 / $512.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $181.97 / $549.54