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Indiana rates for HCPCS L4205

Repair of orthotic device, labor component, per 15 minutes

Facilitymedian $30 · 10th–90th $13–$440%50%10th90th$30Professionalmedian $14 · 10th–90th $12–$260%20%10th90th$14$0.0$0.1$0.5$2.0$10.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $12.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.88 / $19.95
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $28.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $30.20 / $43.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $25.12 / $39.81
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $24.55 / $53.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $22.39 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $17.78 / $23.99
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $14.13 / $20.89