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Walking Boot, Nonpneumatic, Custom Fitted

Utah 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 October 2026.

How much does Walking Boot, Nonpneumatic, Custom Fitted cost?

$107

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $107 for this service. The price depends on where it is billed: about $107 from a physician practice, and about $107 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$107$77.62 to $141
FacilityA hospital or hospital-owned outpatient department$107$54.95 to $195

How much rates vary

Facilitymedian $107 · 10th to 90th $55 to $195Professionalmedian $107 · 10th to 90th $55 to $170
$100$200facility $107professional $107

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Aetna
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$109.65
Cigna
Setting
Facility
Modifier
None
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Cigna
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$77.62
Typical High
$107.15
Molina
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$141.25
Typical High
$181.97
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$181.97
Median
$194.98
Typical High
$295.12
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Select Health
Setting
Facility
Modifier
None
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
Select Health
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$190.55
Typical High
$194.98
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$158.49
Typical High
$229.09
United
Setting
Professional
Modifier
None
Typical Low
$66.07
Median
$85.11
Typical High
$154.88

Where Utah sits

The same service costs 2.3 times more in Iowa than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Utah· 36th of 51

$107

IA $195DE $83.18

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.