go back

Walking Boot, Pneumatic or Vacuum, Off-the-Shelf

Michigan rates for HCPCS L4361

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

Rates data updated July 2026.

How much does Walking Boot, Pneumatic or Vacuum, Off-the-Shelf cost?

$245

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $245 for this service. The price depends on where it is billed: about $245 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 8 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$245$191 to $309
FacilityA hospital or hospital-owned outpatient department$427$372 to $513

How much rates vary

Facilitymedian $427 · 10th to 90th $178 to $708Professionalmedian $245 · 10th to 90th $166 to $398
$100$200$500$1K$2Kfacility $427professional $245

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
$177.83
Median
$416.87
Typical High
$524.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$229.09
Typical High
$398.11
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$239.88
Typical High
$316.23
BCBS
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$933.25
Typical High
$1,778.28
BCBS
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$309.03
Typical High
$331.13
CareSource
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$398.11
Typical High
$630.96
CareSource
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$467.74
Typical High
$467.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$288.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$213.80
Typical High
$389.05
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$245.47
Typical High
$275.42
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$190.55
Typical High
$380.19
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$295.12
Typical High
$389.05
United
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$257.04
Typical High
$426.58
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$147.91
Typical High
$263.03

Where Michigan sits

The same service costs 2.6 times more in Massachusetts than in Washington, DC. 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.

Michigan· 15th of 51

$245

MA $363DC $141

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.