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California 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
Facility
Modifier
Low / Median / High Price
$77.62 / $120.23 / $812.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $134.90 / $416.87
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $125.89 / $194.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $154.88 / $446.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $112.20 / $234.42
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $331.13 / $436.52
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $346.74 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $120.23 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $89.13 / $120.23
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $144.54 / $229.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $169.82 / $316.23
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $891.25 / $891.25
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,412.54 / $1,412.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $281.84 / $281.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $190.55 / $251.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $89.13 / $181.97
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $354.81 / $354.81
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $151.36 / $199.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $85.11 / $234.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $93.33 / $190.55