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Louisiana rates for HCPCS L4030

Replace Quadrilateral Socket Brim, Custom Fitted

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.98 / $425.65 / $573.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.36 / $412.37 / $462.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.76 / $1,103.18 / $1,550.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.39 / $526.76 / $526.76
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.18 / $331.06 / $445.15