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Florida rates for HCPCS L4020

Replace quadrilateral socket brim, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.02 / $474.33 / $543.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.02 / $522.82 / $904.57
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 / $735.84
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.84 / $99,999.99 / $99,999.99
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.81 / $725.98 / $1,033.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.40 / $359.08 / $394.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.83 / $479.78 / $633.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.60 / $510.78 / $694.51
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.08 / $359.08 / $581.34