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Colorado 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
$105.21 / $109.14 / $318.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.45 / $108.15 / $155.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.12 / $216.99 / $393.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.34 / $112.34 / $150.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.47 / $120.81 / $120.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.19 / $88.19 / $203.43
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.15 / $124.98 / $276.97
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.98 / $124.98 / $124.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.97 / $230.00 / $382.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.14 / $85.13 / $133.57