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Utah 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
$134.28 / $134.28 / $235.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.28 / $246.10 / $695.14
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 / $214.16 / $291.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $245.74 / $319.46
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.76 / $328.73 / $328.73
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.19 / $235.63 / $353.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.69 / $155.62 / $165.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.85 / $155.62 / $187.16