go back

Indiana rates for HCPCS L4361

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $407.38 / $1,174.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $194.98 / $426.58
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $251.19 / $389.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $316.23 / $398.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $371.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $389.05 / $467.74
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $389.05 / $467.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $213.80 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $154.88 / $288.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $245.47 / $251.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $154.88 / $245.47