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Kentucky rates for HCPCS L4030

Replace quadrilateral socket brim, custom fitted

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.76 / $292.35 / $303.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.16 / $303.18 / $396.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.08 / $568.79 / $597.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.48 / $333.08 / $360.39
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.60 / $802.01 / $1,080.72
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.79 / $767.88 / $1,034.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.88 / $477.88 / $757.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.85 / $435.03 / $3,176.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.25 / $362.50 / $453.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.18 / $283.76 / $455.04