go back

Rhode Island rates for HCPCS L4030

Replace quadrilateral socket brim, custom fitted

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $371.54 / $870.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $331.13 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $346.74 / $478.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $346.74 / $776.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $323.59 / $467.74