go back

South Carolina rates for HCPCS L4205

Repair of orthotic device, labor component, per 15 minutes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $426.58 / $426.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $12.88 / $22.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $28.84 / $36.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $22.39 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $23.44
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $19.95 / $51.29
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $12.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $9.77 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $16.60 / $48.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $14.13 / $18.62