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Louisiana 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
$103.79 / $110.18 / $148.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.58 / $110.18 / $155.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.04 / $144.04 / $144.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.15 / $285.56 / $401.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.00 / $136.35 / $136.35
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.61 / $129.61 / $129.61
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 / $118.47 / $120.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.76 / $91.18 / $135.72