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Washington, DC rates for HCPCS L4020

Replace quadrilateral socket brim, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.77 / $432.77 / $432.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.77 / $432.77 / $432.77
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.00 / $567.00 / $722.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.95 / $548.95 / $548.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.30 / $687.30 / $2,098.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.68 / $527.52 / $792.60