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North Carolina 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
$56.68 / $56.68 / $168.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.62 / $168.17 / $238.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.99 / $172.85 / $199.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.78 / $188.13 / $350.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.71 / $144.04 / $153.63
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.98 / $168.17 / $201.80
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.33 / $150.33 / $150.33
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.55 / $211.56 / $328.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.95 / $94.96 / $142.47
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.95 / $889.53 / $889.53
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.74 / $1,398.23 / $1,398.23