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Rhode Island rates for HCPCS L4020

Replace quadrilateral socket brim, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $602.56 / $1,513.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $1,949.84 / $2,290.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $512.86 / $1,047.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $562.34 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $758.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $602.56 / $1,318.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $562.34 / $812.83