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Walking Boot, Pneumatic or Vacuum, Custom Fitted

Montana 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?

$257

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $257 for this service. The price depends on where it is billed: about $251 from a physician practice, and about $331 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 6 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$251$186 to $339
FacilityA hospital or hospital-owned outpatient department$331$282 to $389

How much rates vary

Facilitymedian $331 · 10th to 90th $224 to $1,000Professionalmedian $251 · 10th to 90th $145 to $776
$100$1K$10K$100Kfacility $331professional $251

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
Professional
Modifier
Global
Typical Low
$144.54
Median
$186.21
Typical High
$812.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$69,183.10
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$354.81
Typical High
$354.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$354.81
Typical High
$354.81
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$331.13
Typical High
$645.65
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$331.13
Typical High
$645.65
Providence
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$331.13
Typical High
$407.38
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$263.03
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$158.49
Typical High
$194.98
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$154.88
Typical High
$239.88

Where Montana 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.

Montana· 9th of 51

$257

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.