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Wyoming 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
Professional
Modifier
Low / Median / High Price
$108.15 / $108.15 / $169.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.59 / $188.59 / $188.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.59 / $188.59 / $188.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.81 / $120.81 / $209.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.19 / $88.19 / $120.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.14 / $85.13 / $94.52