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Colorado rates for HCPCS L4030

Replace quadrilateral socket brim, custom fitted

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.52 / $318.52 / $318.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.12 / $318.52 / $558.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$568.79 / $639.10 / $1,160.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.43 / $346.43 / $374.14
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
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.20 / $318.52 / $741.91
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.20 / $183.20 / $183.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.22 / $711.00 / $1,137.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.66 / $283.76 / $427.46