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Arizona rates for HCPCS L4387

Walking boot, nonpneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.56 / $106.85 / $324.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.22 / $94.71 / $171.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.54 / $87.39 / $142.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.81 / $120.81 / $120.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.19 / $88.19 / $221.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.03 / $124.98 / $889.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.04 / $85.13 / $133.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.04 / $85.13 / $133.57