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Washington, DC 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
$76.30 / $76.30 / $76.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.30 / $76.30 / $106.85
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.04 / $124.04 / $127.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.19 / $88.19 / $88.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.18 / $121.18 / $370.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.01 / $93.01 / $139.75