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Missouri rates for HCPCS L4205

Repair of orthotic device, labor component, per 15 minutes

Facilitymedian $24 · 10th–90th $14$630%20%10th90th$24Professionalmedian $15 · 10th–90th $11$260%20%10th90th$15$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
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$15.85
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$14.13
Typical High
$23.99
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$104.71
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$25.12
Typical High
$25.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$22.39
Typical High
$23.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$22.39
Medica
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$23.44
Typical High
$158.49
Medica
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$14.13
Typical High
$158.49
United
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$23.99
Typical High
$30.20
United
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$14.13
Typical High
$24.55