go back

Georgia rates for HCPCS L4020

Replace quadrilateral socket brim, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $489.78 / $1,258.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $575.44 / $933.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $2,511.89 / $3,890.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $851.14 / $1,318.26
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $870.96 / $870.96
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $870.96 / $870.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $1,778.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $1,258.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,047.13 / $1,819.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $478.63 / $645.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $512.86 / $891.25