go back

California rates for HCPCS L4020

Replace quadrilateral socket brim, molded to patient model

Facilitymedian $562 · 10th–90th $447$2,5700%20%10th90th$562Professionalmedian $589 · 10th–90th $479$4,8980%20%10th90th$589$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $575.44 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $575.44 / $4,897.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $562.34 / $2,570.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $588.84 / $1,862.09
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $1,905.46 / $3,019.95
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,230.27 / $2,398.83 / $4,897.79
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $758.58 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $549.54 / $758.58
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $616.60 / $1,584.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $1,174.90 / $2,041.74
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,248.07 / $5,248.07 / $5,248.07
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,309.57 / $9,332.54 / $9,332.54
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,122.02 / $1,122.02
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $70.79
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $1,122.02 / $1,584.89
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $549.54 / $1,047.13
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,454.71 / $2,454.71 / $2,454.71
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $630.96 / $1,174.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $478.63 / $1,318.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $588.84 / $1,348.96