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Washington rates for HCPCS L4205

Repair of orthotic device, labor component, per 15 minutes

Facilitymedian $55 · 10th–90th $21$3630%10%10th90th$55Professionalmedian $20 · 10th–90th $12$540%10%10th90th$20$0.2$1.0$5.0$20.0$100.0$500.0

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
$52.48
Median
$269.15
Typical High
$407.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.88
Typical High
$21.88
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$42.66
Typical High
$85.11
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$37.15
Typical High
$43.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$22.39
Typical High
$22.39
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$22.39
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$56.23
Typical High
$75.86
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$56.23
Typical High
$75.86
Molina
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$45.71
Typical High
$83.18
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$28.18
Typical High
$28.84
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$42.66
Typical High
$42.66
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$61.66
Typical High
$91.20
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$53.70
Typical High
$74.13
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$42.66
Typical High
$93.33
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$37.15
Typical High
$45.71
United
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$58.88
Typical High
$58.88
United
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$15.85
Typical High
$27.54
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$37.15
Typical High
$66.07