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Delaware 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
$76.73 / $106.85 / $117.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.47 / $118.47 / $120.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.19 / $88.19 / $120.81
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.50 / $130.50 / $130.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.45 / $95.81 / $155.02