go back

Montana rates for HCPCS L4030

Replace quadrilateral socket brim, custom fitted

Facilitymedian $550 · 10th–90th $427$7760%20%10th90th$550Professionalmedian $447 · 10th–90th $257$6920%10%10th90th$447$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $407.38 / $645.65
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$478.63 / $602.56 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $602.56 / $602.56
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $549.54 / $1,071.52
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $549.54 / $1,071.52
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $575.44 / $812.83
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $478.63 / $707.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $354.81 / $371.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $281.84 / $436.52