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Walking Boot, Pneumatic or Vacuum, Custom Fitted

New Hampshire 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?

$251

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $251 for this service. The price depends on where it is billed: about $234 from a physician practice, and about $427 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$234$191 to $363
FacilityA hospital or hospital-owned outpatient department$427$282 to $457

How much rates vary

Facilitymedian $427 · 10th to 90th $234 to $513Professionalmedian $234 · 10th to 90th $141 to $363
$100$200$500$1Kfacility $427professional $234

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
$234.42
Median
$234.42
Typical High
$281.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$181.97
Typical High
$281.84
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$316.23
Typical High
$316.23
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$457.09
Typical High
$512.86
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$194.98
Typical High
$309.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$194.98
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$154.88
Typical High
$181.97
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$239.88
Typical High
$363.08
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$524.81

Where New Hampshire 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.

New Hampshire· 10th of 51

$251

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.