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Wisconsin rates for HCPCS L4205

Repair of orthotic device, labor component, per 15 minutes

Facilitymedian $30 · 10th–90th $27$550%20%40%10th90th$30Professionalmedian $20 · 10th–90th $12$450%20%10th90th$20$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
$12.88 / $12.88 / $12.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.88 / $21.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $48.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $33.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $109.65 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $43.65 / $50.12
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $23.44 / $34.67
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $56.23 / $63.10
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $28.84 / $158.49
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.49 / $34.67
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $64.57 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $44.67 / $100.00
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $58.88 / $177.83
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $32.36 / $190.55
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $16.60 / $30.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $14.13 / $26.92