go back

Vermont rates for HCPCS L4030

Replace Quadrilateral Socket Brim, Custom Fitted

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.57 / $277.57 / $320.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.06 / $477.88 / $477.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.85 / $348.85 / $354.10
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.06 / $477.88 / $477.88
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.85 / $348.85 / $354.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.66 / $427.46 / $472.94