go back

Tennessee rates for HCPCS L4361

Walking Boot Pneumatic And/Or Vacuum With Or Without Joints With Or Without Interface Materialprefabricated Off-The-Shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.11 / $149.11 / $162.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.77 / $162.91 / $290.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.14 / $333.00 / $499.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.47 / $298.29 / $298.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.16 / $214.16 / $291.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.34 / $156.34 / $214.16
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$519.54 / $1,620.96 / $1,728.76
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,058.80 / $2,058.80 / $2,427.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.87 / $154.24 / $195.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.23 / $165.35 / $244.15