search again

Nationwide rates for HCPCS L4050

Replace molded calf lacer, for custom fabricated orthosis only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $257.04 / $501.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $257.04 / $407.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $288.40 / $1,096.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $281.84 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $288.40 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $724.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $309.03 / $630.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $234.42 / $398.11