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Walking Boot, Nonpneumatic, Off-the-Shelf

Utah 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?

$123

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $123 for this service. The price depends on where it is billed: about $148 from a physician practice, and about $70.79 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$148$93.33 to $302
FacilityA hospital or hospital-owned outpatient department$70.79$63.10 to $77.62

How much rates vary

Facilitymedian $71 · 10th to 90th $63 to $83Professionalmedian $148 · 10th to 90th $63 to $501
$50$100$200$500facility $71professional $148

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
$63.10
Median
$70.79
Typical High
$79.43
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$154.88
Typical High
$501.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$120.23
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$141.25
Typical High
$181.97
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$194.98
Typical High
$194.98
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$138.04
Typical High
$208.93
Select Health
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
Select Health
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$190.55
Typical High
$194.98
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$229.09
United
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$85.11
Typical High
$107.15
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$85.11
Typical High
$141.25

Where Utah 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.

Utah· 22nd of 51

$123

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.