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Minnesota rates for HCPCS L4205

Repair of orthotic device, labor component, per 15 minutes

Facilitymedian $49 · 10th–90th $25–$2240%20%10th90th$49Professionalmedian $28 · 10th–90th $13–$350%20%40%10th90th$28$0.0$0.1$0.5$2.0$10.0$50.0$200.0

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
$19.95 / $19.95 / $34.67
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $14.13 / $19.95
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $125.89
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $27.54 / $27.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $131.83 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $39.81 / $44.67
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $112.20 / $223.87
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $47.86
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $28.84 / $158.49
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $14.13 / $38.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.22 / $14.13 / $58.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $16.60 / $39.81