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Florida rates for HCPCS L4387

Walking Boot Non-Pneumatic With Or Without Joints With Or Without Interface Material Prefabricated Off-The-Shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.58 / $88.18 / $105.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.30 / $105.23 / $168.17
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.46 / $144.04 / $144.04
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 / $121.58
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99,999.99 / $99,999.99 / $99,999.99
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.20 / $150.33 / $366.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.94 / $103.41 / $114.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.02 / $95.81 / $133.57
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.90 / $114.90 / $114.90