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Washington, DC rates for HCPCS L4030

Replace Quadrilateral Socket Brim, Custom Fitted

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.80 / $232.80 / $232.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.80 / $232.80 / $232.80
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.00 / $305.00 / $388.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.85 / $348.85 / $348.85
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.72 / $369.72 / $1,129.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.18 / $283.76 / $531.23