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Texas 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
$72.44 / $138.04 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $186.21 / $691.83
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $239.88 / $346.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,548.13 / $4,265.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $147.91 / $147.91
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $257.04 / $446.68
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $213.80 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $154.88 / $213.80
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $1,737.80 / $1,737.80
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $2,041.74 / $2,454.71
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $208.93 / $436.52
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $181.97 / $398.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $165.96
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $2,454.71 / $2,951.21
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $446.68 / $1,174.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $288.40 / $501.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $154.88 / $213.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $154.88 / $363.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $194.98 / $245.47
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $316.23