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 | |||||
 |
Fairview Home Medical Equipment (3) | $243.68 - $279.23 | |||||
| Fairview Home Medical Equipment-St Paul | Saint Paul, MN | $243.68 - $279.23 | |||||
| Fairview Home Medical Equipment Edina | Edina, MN | $243.68 - $279.23 | |||||
| Fairview Home Medical Equipment-Burnsville | Burnsville, MN | $243.68 - $279.23 | |||||
|
Fairview Orthotics and Prosthetics (2) | $243.68 - $279.23 | |||||
| Fairview Orthotics and Prosthetics-St Paul | Saint Paul, MN | $243.68 - $279.23 | |||||
| Fairview Ortho and Prosth-Riverside | Minneapolis, MN | $243.68 - $279.23 | |||||
| Great Plains Rehabilitation Services | Bismarck, ND | $243.68 - $279.23 | |||||
| Limb Lab | Mankato, MN | $243.68 - $279.23 | |||||
|
Mayo Clinic Store (5) | ||||||
| Mayo Clinic Health System Mankato | Mankato, MN | $130.27 - $163.33 | |||||
| Mayo Clinic Health System Albert Lea and Austin | Austin, MN | $187.96 - $207.87 | |||||
| Mayo Clinic Store Flower of Hope | Rochester, MN | $130.27 - $163.33 | |||||
| Mayo Clinic Health System Albert Lea and Austin | Albert Lea, MN | $187.96 - $207.87 | |||||
| Mayo Clinic Store-Siebens | Rochester, MN | $130.27 - $163.33 | |||||
|
Midwest Medical Equipment and Supply (2) | $130.27 - $163.33 | |||||
| Midwest Medical Equip and Supply | Duluth, MN | $130.27 - $163.33 | |||||
| Midwest Medical Equip and Supply | Duluth, MN | $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 | |||||
|
Park Nicollet Health Care Products and Pharmacies (19) | $243.68 - $279.23 | |||||
| Park Nicollet Health Care Products | Saint Louis Park, MN | $243.68 - $279.23 | |||||
| Park Nicollet Health Care Products | Plymouth, MN | $243.68 - $279.23 | |||||
| Park Nicollet Health Care Products | Eden Prairie, MN | $243.68 - $279.23 | |||||
| Park Nicollet Health Care Products | Saint Louis Park, MN | $243.68 - $279.23 | |||||
| Park Nicollet Health Care Products | Shakopee, MN | $243.68 - $279.23 | |||||
| Pharmacy @ Park Nicollet-Wayzata | Wayzata, MN | $243.68 - $279.23 | |||||
| Park Nicollet Health Care Products | Maple Grove, MN | $243.68 - $279.23 | |||||
| Park Nicollet Health Care Products | Champlin, MN | $243.68 - $279.23 | |||||
| Park Nicollet Health Care Products | Shakopee, MN | $243.68 - $279.23 | |||||
| Pharmacy @ Park Nicollet-St Louis Park | Saint Louis Park, MN | $243.68 - $279.23 | |||||
| Park Nicollet Health Care Products | Minneapolis, MN | $243.68 - $279.23 | |||||
| Pharmacy @ Park Nicollet-Carlson | Minnetonka, MN | $243.68 - $279.23 | |||||
| Pharmacy @ Park Nicollet-Brookdale | Brooklyn Center, MN | $243.68 - $279.23 | |||||
| Pharmacy @ Park Nicollet-Burnsville | Burnsville, MN | $243.68 - $279.23 | |||||
| Pharmacy @ Park Nicollet-Bloomington | Bloomington, MN | $243.68 - $279.23 | |||||
| Pharmacy @ Park Nicollet-Chanhassen | Chanhassen, MN | $243.68 - $279.23 | |||||
| Park Nicollet Health Care Products | Saint Louis Park, MN | $243.68 - $279.23 | |||||
| Park Nicollet Health Care Products | Bloomington, MN | $243.68 - $279.23 | |||||
| Park Nicollet Health Care Products | Saint Louis Park, MN | $243.68 - $279.23 | |||||
|
Sanford Home Medical Equipment (4) | $243.68 - $279.23 | |||||
| Sanford Home Medical Equipment - E Sioux | Sioux Falls, SD | $243.68 - $279.23 | |||||
| Sanford HealthCare Accessories | Fargo, ND | $243.68 - $279.23 | |||||
| Sanford Home Medical Equipment-Vermillion | Vermillion, SD | $243.68 - $279.23 | |||||
| Sanford Home Medical Equipment | Sioux Falls, SD | $243.68 - $279.23 | |||||
|
Twin Cities Orthopedics P.A. (2) | $243.68 - $279.23 | |||||
| Twin Cities Orthopedics PA | Otsego, MN | $243.68 - $279.23 | |||||
| Twin Cities Orthopedics PA | Waconia, MN | $243.68 - $279.23 | |||||
