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Walking Boot, Nonpneumatic, Off-the-Shelf

New Hampshire rates for HCPCS L4387

Walking boot, nonpneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf

Rates data updated July 2026.

How much does Walking Boot, Nonpneumatic, Off-the-Shelf cost?

$132

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $132 for this service. The price depends on where it is billed: about $117 from a physician practice, and about $191 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$117$110 to $162
FacilityA hospital or hospital-owned outpatient department$191$132 to $204

How much rates vary

Facilitymedian $191 · 10th to 90th $110 to $229Professionalmedian $117 · 10th to 90th $81 to $162
$100$200$500facility $191professional $117

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$131.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$109.65
Typical High
$131.83
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$204.17
Typical High
$229.09
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$120.23
Typical High
$120.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$120.23
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$302.00
United
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$87.10
Typical High
$107.15
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$123.03
Typical High
$162.18
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$199.53

Where New Hampshire sits

The same service costs 2.5 times more in Minnesota than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New Hampshire· 20th of 51

$132

MN $191DC $75.86

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.