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Indiana rates for HCPCS L4205

Repair of orthotic device, labor component, per 15 minutes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $12.88 / $12.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.88 / $20.89
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $28.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $30.20 / $37.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $25.12 / $39.81
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $24.55 / $53.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $22.39 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.47 / $21.38 / $23.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $14.13 / $20.42