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Nevada rates for HCPCS L4030

Replace Quadrilateral Socket Brim, Custom Fitted

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.99 / $258.99 / $298.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.80 / $258.99 / $303.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.39 / $758.39 / $758.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.08 / $346.43 / $758.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.88 / $477.88 / $558.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.85 / $348.85 / $632.24
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.74 / $606.71 / $985.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.19 / $283.76 / $472.94