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California rates for HCPCS L4205

Repair of orthotic device, labor component, per 15 minutes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $12.02 / $54.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.88 / $64.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $23.99 / $102.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $25.70 / $27.54
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $70.79 / $104.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $22.39 / $22.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $22.39
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $20.42 / $58.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $44.67 / $85.11
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $177.83 / $177.83
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $218.78 / $218.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $26.30 / $26.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $38.02 / $58.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $28.18
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $24.55 / $44.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.34 / $13.80 / $48.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $15.49 / $46.77