go back

Arizona rates for HCPCS L4030

Replace quadrilateral socket brim, custom fitted

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.52 / $303.36 / $502.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.02 / $657.53 / $1,188.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.03 / $606.71 / $826.65
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 / $856.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.20 / $506.74 / $3,084.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.22 / $283.76 / $427.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.48 / $283.76 / $427.46