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Arizona rates for HCPCS L4020

Replace quadrilateral socket brim, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.30 / $517.53 / $904.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.52 / $1,121.75 / $2,028.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.29 / $1,035.06 / $1,410.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$751.98 / $751.98 / $751.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.95 / $548.95 / $1,347.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.52 / $864.49 / $5,145.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.10 / $484.10 / $729.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.73 / $479.78 / $633.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.54 / $484.10 / $729.23