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Montana 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
Professional
Modifier
Low / Median / High Price
$73.45 / $106.85 / $425.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.59 / $188.59 / $188.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.81 / $202.78 / $202.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.81 / $202.78 / $202.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.81 / $193.12 / $202.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.81 / $152.19 / $202.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.14 / $85.13 / $135.03