go back

Oregon rates for HCPCS L4205

Repair of orthotic device, labor component, per 15 minutes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $18.20 / $18.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $12.59 / $21.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $22.39 / $22.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $16.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $67.61 / $83.18
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $25.70 / $41.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $31.62 / $38.02
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $28.18 / $32.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $25.12 / $47.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $27.54 / $74.13
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $89.13 / $112.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $58.88 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $14.13 / $27.54