go back

Walking Boot, Pneumatic or Vacuum, Custom Fitted

Utah 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?

$204

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $204 for this service. The price depends on where it is billed: about $204 from a physician practice, and about $155 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$204$162 to $363
FacilityA hospital or hospital-owned outpatient department$155$100 to $339

How much rates vary

Facilitymedian $155 · 10th to 90th $100 to $339Professionalmedian $204 · 10th to 90th $123 to $813
$100$200$500$1Kfacility $155professional $204

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
$100.00
Median
$100.00
Typical High
$100.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$204.17
Typical High
$831.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$194.98
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$245.47
Typical High
$316.23
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$338.84
Typical High
$338.84
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$239.88
Typical High
$467.74
Select Health
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Select Health
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$338.84
Typical High
$426.58
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$346.74
Typical High
$512.86
United
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$154.88
Typical High
$194.98
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$154.88
Typical High
$257.04

Where Utah 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.

Utah· 22nd of 51

$204

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.