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New York rates for HCPCS L4020

Replace quadrilateral socket brim, molded to patient model

Facilitymedian $776 · 10th–90th $537$2,2910%20%10th90th$776Professionalmedian $589 · 10th–90th $479$1,6600%20%40%10th90th$589$1.0$10.0$100.0$1.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $1,000.00 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $537.03 / $812.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,258.93 / $2,511.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $588.84 / $1,949.84
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $1,023.29 / $1,023.29
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,023.29 / $1,023.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $758.58 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $549.54 / $1,348.96
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,258.93 / $2,089.30 / $4,897.79
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $1,258.93 / $2,398.83
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $616.60 / $645.65
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $741.31 / $794.33
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $1,202.26 / $1,202.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $562.34 / $2,951.21
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $794.33 / $2,089.30
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $741.31 / $741.31
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $741.31 / $794.33