go back

Illinois rates for HCPCS L4020

Replace quadrilateral socket brim, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.49 / $597.49 / $597.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.83 / $597.49 / $929.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,389.66 / $2,351.06 / $10,002.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$751.98 / $751.98 / $1,199.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.95 / $548.95 / $1,361.23
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.12 / $1,132.88 / $1,394.99
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,511.24 / $1,511.24 / $1,511.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.83 / $479.78 / $1,162.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.42 / $579.95 / $1,208.24