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Massachusetts rates for HCPCS L4205

Repair of orthotic device, labor component, per 15 minutes

Facilitymedian $29 · 10th–90th $13$470%50%10th90th$29Professionalmedian $17 · 10th–90th $12$300%20%40%10th90th$17$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

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 / $13.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.88 / $22.91
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $31.62 / $190.55
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $21.88 / $31.62
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $29.51 / $38.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $22.39
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $23.44
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $3,630.78 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $38.02
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $66.07 / $66.07
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $16.98
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $31.62 / $190.55
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $21.88 / $31.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $16.60 / $48.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $19.05 / $25.70