go back

Walking Boot, Nonpneumatic, Custom Fitted

Iowa rates for HCPCS L4386

Walking boot, nonpneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Rates data updated July 2026.

Facilitymedian $191 · 10th–90th $91$4570%10%20%10th90th$191Professionalmedian $129 · 10th–90th $87$3630%10%20%10th90th$129$0.2$1.0$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$131.83
Typical High
$234.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$120.23
Typical High
$371.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$213.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$223.87
Typical High
$275.42
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$204.17
Typical High
$223.87
Medica
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$229.09
Typical High
$891.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$114.82
Typical High
$316.23
Midlands
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$223.87
Typical High
$263.03
Midlands
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Midlands
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$316.23
Typical High
$316.23
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$251.19
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$194.98
Typical High
$371.54
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$95.50
Typical High
$234.42
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$186.21
Typical High
$186.21