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Replacement Trilateral Socket Brim

Pennsylvania rates for HCPCS L4010

Replace trilateral socket brim

Rates data updated July 2026.

How much does Replacement Trilateral Socket Brim cost?

$380

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $380 for this service. The price depends on where it is billed: about $380 from a physician practice, and about $1,047 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 9 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$380$347 to $525
FacilityA hospital or hospital-owned outpatient department$1,047$363 to $1,585

How much rates vary

Facilitymedian $1,047 · 10th to 90th $309 to $2,692Professionalmedian $380 · 10th to 90th $309 to $759
$500$1K$2K$5K$10K$20K$50Kfacility $1,047professional $380

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
$309.03
Median
$309.03
Typical High
$1,202.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$363.08
Typical High
$676.08
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$630.96
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,202.26
Typical High
$1,737.80
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$537.03
Typical High
$776.25
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$1,202.26
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$363.08
Typical High
$707.95
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,819.70
Typical High
$2,951.21
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$724.44
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$1,023.29
Typical High
$1,023.29
United
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$380.19
Typical High
$851.14

Where Pennsylvania sits

The same service costs 4.2 times more in Hawaii 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.

Pennsylvania· 45th of 51

$380

HI $1,288DC $309

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.