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Tennessee rates for HCPCS L4205

Repair of orthotic device, labor component, per 15 minutes

Facilitymedian $22 · 10th–90th $13–$1910%20%10th90th$22Professionalmedian $13 · 10th–90th $11–$220%20%40%10th90th$13$0.0$0.1$0.5$2.0$10.0$50.0$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
$10.96 / $12.59 / $19.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $12.02 / $21.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $23.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $25.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $22.39
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $190.55 / $190.55
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $218.78 / $218.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $15.49 / $23.99
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $13.49 / $19.50