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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
$428.26 / $581.33 / $597.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,385.83 / $1,871.76 / $2,215.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.10 / $515.10 / $861.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$566.96 / $751.98 / $751.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.95 / $548.95 / $548.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.78 / $479.78 / $479.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.29 / $523.94 / $815.00