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Tennessee 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
$86.41 / $86.41 / $94.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.14 / $94.41 / $161.72
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.04 / $181.00 / $181.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.44 / $172.85 / $172.85
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 / $88.19 / $120.81
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.08 / $889.53 / $889.53
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.74 / $961.74 / $1,398.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.88 / $92.23 / $133.57