go back

Vermont rates for HCPCS L4020

Replace quadrilateral socket brim, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $575.44 / $660.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $758.58 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $776.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $954.99 / $1,288.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $575.44 / $645.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $741.31 / $2,041.74