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Massachusetts 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
$81.47 / $81.47 / $81.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.47 / $106.85 / $155.10
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.56 / $415.98 / $889.53
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.38 / $133.57 / $182.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,077.73 / $1,077.73 / $3,200.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.61 / $181.39 / $240.74
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 / $120.81 / $221.63
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.94 / $150.94 / $158.50
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.76 / $95.76 / $102.12
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.76 / $95.76 / $116.74
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$387.81 / $889.53 / $889.53
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.79 / $94.85 / $182.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.81 / $101.27 / $182.06