go back

Minnesota 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
$60.26 / $131.83 / $309.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $112.20 / $302.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $190.55 / $281.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $190.55 / $190.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $724.44 / $1,698.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $251.19 / $281.84
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $691.83 / $1,348.96
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $302.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $190.55 / $512.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $95.50 / $229.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $85.11 / $234.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $95.50 / $239.88