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Delaware rates for HCPCS L4020

Replace quadrilateral socket brim, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.17 / $435.17 / $473.37
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
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.77 / $479.78 / $479.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.08 / $527.52 / $794.64