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Montana rates for HCPCS L4205

Repair of orthotic device, labor component, per 15 minutes

Facilitymedian $35 · 10th–90th $21–$500%20%10th90th$35Professionalmedian $18 · 10th–90th $11–$350%10%20%10th90th$18$10.0$20.0$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
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $15.14 / $21.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $28.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $30.90 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $30.90 / $30.90
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $48.98 / $50.12
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $48.98 / $50.12
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $30.20 / $41.69
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $39.81 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $14.13 / $17.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $14.13 / $19.50