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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
$56.23 / $138.04 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $128.82 / $239.88
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $147.91 / $208.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $194.98 / $380.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $147.91 / $158.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $120.23 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $89.13 / $223.87
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $169.82 / $269.15
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $186.21 / $199.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $87.10 / $154.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $95.50 / $141.25
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $891.25 / $891.25
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,412.54 / $1,412.54