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Mississippi rates for HCPCS L4030

Replace Quadrilateral Socket Brim, Custom Fitted

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.76 / $318.76 / $508.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.76 / $425.65 / $513.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.78 / $440.78 / $440.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.78 / $440.78 / $440.78
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 / $533.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.18 / $270.02 / $448.84