go back

Connecticut 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 / $12.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.88 / $22.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $30.90 / $37.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $25.12 / $25.70
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 / $16.22
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $27.54 / $50.12
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $66.07 / $66.07
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $16.60 / $16.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $11.75 / $14.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $14.45 / $21.88