go back

Vermont 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
Professional
Modifier
Low / Median / High Price
$94.85 / $109.45 / $128.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.83 / $150.83 / $150.83
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 / $118.47 / $128.79
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.47 / $120.81 / $120.81
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.19 / $120.81 / $128.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.01 / $124.04 / $224.49