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Vermont rates for HCPCS L4030

Replace quadrilateral socket brim, custom fitted

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $338.84 / $446.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $478.63 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $346.74 / $478.63
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $549.54 / $758.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $354.81 / $398.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $426.58 / $1,174.90