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Massachusetts rates for HCPCS L4020

Replace quadrilateral socket brim, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $426.58 / $426.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $537.03 / $1,122.02
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,000.00 / $6,165.95
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $758.58 / $1,000.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,288.25 / $1,698.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $724.44 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $758.58
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $851.14 / $1,318.26
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $660.69
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,000.00 / $6,165.95
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $758.58 / $1,258.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.78 / $575.44 / $1,318.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $575.44 / $870.96