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Massachusetts 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
$181.97 / $181.97 / $181.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $245.47 / $1,023.29
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $426.58 / $1,737.80
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $323.59 / $426.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $1,819.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $288.40 / $489.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $213.80 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $154.88 / $288.40
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $363.08 / $549.54
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $208.93 / $208.93
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $263.03 / $263.03
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $426.58 / $1,737.80
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $323.59 / $426.58
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $436.52 / $724.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $173.78 / $426.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $263.03 / $363.08