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New Jersey rates for HCPCS L4205

Repair of orthotic device, labor component, per 15 minutes

Facilitymedian $49 · 10th–90th $12–$980%20%40%10th90th$49Professionalmedian $13 · 10th–90th $10–$290%20%10th90th$13$10.0$20.0$50.0$100.0

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
$12.02 / $97.72 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.02 / $19.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $22.39
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $31.62 / $40.74
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $28.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $15.49 / $41.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $16.22 / $26.92