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Connecticut rates for HCPCS L4030

Replace Quadrilateral Socket Brim, Custom Fitted

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$276.45 / $276.45 / $276.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.52 / $303.36 / $344.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.82 / $568.79 / $650.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.43 / $346.43 / $362.98
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
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.72 / $369.72 / $369.72
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.72 / $409.54 / $568.79
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.38 / $361.38 / $361.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.19 / $283.76 / $472.94