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Maryland rates for HCPCS L4030

Replace quadrilateral socket brim, custom fitted

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.80 / $248.52 / $444.65
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.00 / $305.00 / $388.83
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.16 / $568.79 / $819.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.50 / $283.76 / $452.31
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.77 / $340.77 / $398.16