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Kansas rates for HCPCS L4030

Replace quadrilateral socket brim, custom fitted

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$486.09 / $486.09 / $486.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.20 / $318.47 / $486.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$516.54 / $563.58 / $597.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.40 / $559.40 / $559.40
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 / $1,070.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.20 / $473.09 / $3,084.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.18 / $292.85 / $749.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.18 / $292.85 / $392.21