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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
$436.52 / $478.63 / $549.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $537.03 / $912.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $758.58
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $354.81 / $512.86
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $630.96 / $1,047.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $363.08 / $446.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $489.78 / $870.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $501.19 / $691.83
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $363.08 / $1,047.13