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Louisiana rates for HCPCS L4020

Replace quadrilateral socket brim, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$613.16 / $650.89 / $876.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.53 / $650.89 / $707.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$987.47 / $1,686.94 / $2,371.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.43 / $805.51 / $805.51
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
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 / $1,347.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.35 / $479.78 / $564.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.74 / $523.30 / $745.99