go back

Arizona rates for HCPCS L4030

Replace quadrilateral socket brim, custom fitted

Facilitymedian $617 · 10th–90th $182–$1,5140%10%10th90th$617Professionalmedian $339 · 10th–90th $257–$6460%20%10th90th$339$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $338.84 / $512.86
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $758.58 / $1,412.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $691.83 / $1,318.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$478.63 / $478.63 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $346.74 / $478.63
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $501.19 / $3,090.30
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $281.84 / $3,715.35
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $398.11 / $616.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $281.84 / $426.58