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Connecticut rates for HCPCS L4020

Replace quadrilateral socket brim, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$476.40 / $476.40 / $476.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.17 / $517.53 / $538.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$759.64 / $980.18 / $1,121.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591.00 / $591.00 / $619.23
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 / $548.95
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$637.12 / $637.12 / $637.12
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.12 / $705.73 / $980.18
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.34 / $656.34 / $656.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$399.82 / $399.82 / $479.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.18 / $489.00 / $815.00