Walking Boot, Pneumatic, Off-the-shelf

L4361 is the Healthcare Common Procedure Code System (HCPCS) code used to bill for this item.

Note: The estimates below are based on Medica Choice network contract rates. How were these costs calculated?

Cost Key:
Lower Cost Medium Cost Higher Cost
Facility     City/State Average Cost Range                         
  Avera Home Medical Equipment of Marshall Marshall, MN $187.96 - $207.87  
  Community Memorial Hospital Cloquet, MN $243.68 - $279.23  
  DJO LLC New Brighton, MN $130.27 - $163.33  
  Essentia Health Medical Equipt and Supplies Virginia, MN $130.27 - $163.33  
Expand group Fairview Home Medical Equipment (3) $243.68 - $279.23
Expand group Fairview Orthotics and Prosthetics (2) $243.68 - $279.23
  Great Plains Rehabilitation Services Bismarck, ND $243.68 - $279.23  
  Limb Lab Mankato, MN $243.68 - $279.23  
Expand group Mayo Clinic Store (5)
Expand group Midwest Medical Equipment and Supply (2) $130.27 - $163.33
  North Central Medical Supply Inc Brainerd, MN $243.68 - $279.23  
  Northern Orthotic & Prosthetic Services Duluth, MN $243.68 - $279.23  
Expand group Park Nicollet Health Care Products and Pharmacies (19) $243.68 - $279.23
Expand group Sanford Home Medical Equipment (4) $243.68 - $279.23
Expand group Twin Cities Orthopedics P.A. (2) $243.68 - $279.23

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