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South Carolina rates for HCPCS L4205

Repair of orthotic device, labor component, per 15 minutes

Facilitymedian $30 · 10th–90th $12$4270%20%10th90th$30Professionalmedian $13 · 10th–90th $11$230%20%10th90th$13$10.0$20.0$50.0$100.0$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
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$426.58
Typical High
$426.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$12.88
Typical High
$22.91
BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$28.84
Typical High
$36.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$22.39
Typical High
$22.39
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$23.44
Medcost
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$19.95
Typical High
$51.29
Medcost
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$8.91
Typical High
$12.02
Molina
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$9.77
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$16.60
Typical High
$48.98
United
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$14.13
Typical High
$18.62