go back

Iowa 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 / $15.85 / $19.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $15.14 / $43.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $22.39 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $35.48 / $43.65
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $36.31 / $38.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $47.86 / $158.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $17.38 / $61.66
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $43.65 / $69.18
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $33.11 / $33.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $22.91 / $22.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $23.99 / $58.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $14.13 / $26.30
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $27.54 / $27.54