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Alabama rates for HCPCS L4030

Replace quadrilateral socket brim, custom fitted

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $331.13 / $512.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $426.58 / $426.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $478.63 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $346.74 / $776.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $338.84 / $776.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $263.03 / $426.58