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Nationwide rates for HCPCS L4386

Walking Boot Non-Pneumatic With Or Without Joints With Or Without Interface Material Pre- Fabricated Item That Has Been Trimmed Bent Molded Assembled Or Otherwise Customized To Fit A Specific Patient By An Individual With Expertise(Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.21 / $107.63 / $191.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.44 / $102.50 / $168.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.43 / $199.62 / $372.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.45 / $103.75 / $150.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.63 / $106.63 / $121.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.84 / $106.63 / $121.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.95 / $93.01 / $144.33