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Texas 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
Facility
Modifier
Low / Median / High Price
$43.08 / $85.76 / $324.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.72 / $91.21 / $155.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.43 / $136.35 / $144.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,456.92 / $5,821.21 / $8,577.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.40 / $91.40 / $114.35
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.76 / $153.63 / $192.04
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.61 / $129.61 / $192.04
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
$320.95 / $889.53 / $889.53
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.74 / $961.74 / $1,398.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.12 / $163.22 / $192.04
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.53 / $166.44 / $192.04
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.44 / $201.64 / $336.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.18 / $124.98 / $192.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.19 / $116.03 / $155.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.95 / $106.85 / $133.57
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.03 / $112.34 / $192.04