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Alaska rates for HCPCS L4030

Replace quadrilateral socket brim, custom fitted

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.84 / $722.84 / $722.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.88 / $477.88 / $477.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.85 / $348.85 / $348.85
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.20 / $183.20 / $183.20
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.17 / $801.63 / $1,265.73
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.20 / $183.20 / $477.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.85 / $552.08 / $872.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.84 / $806.87 / $1,052.45