go back

North Dakota rates for HCPCS L4020

Replace Quadrilateral Socket Brim, Molded To Patient Model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$705.99 / $705.99 / $705.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.99 / $807.72 / $807.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$907.29 / $1,072.74 / $1,099.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,347.75 / $1,361.23 / $1,711.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.51 / $807.72 / $5,145.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.58 / $492.73 / $806.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.78 / $479.78 / $479.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.05 / $484.10 / $952.07