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
$248.52 / $337.35 / $374.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.00 / $477.88 / $477.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.85 / $348.85 / $348.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.50 / $319.82 / $472.94