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North Carolina rates for HCPCS L4205

Repair of orthotic device, labor component, per 15 minutes

Facilitymedian $23 · 10th–90th $12–$710%20%10th90th$23Professionalmedian $16 · 10th–90th $12–$230%20%40%10th90th$16$0.0$0.2$2.0$20.0$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
$22.91 / $22.91 / $22.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $14.45 / $22.91
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $24.55
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
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $23.44 / $41.69
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $0.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $14.79 / $23.99
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $14.13 / $20.89
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $190.55 / $190.55
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $218.78