Labor Payment Rates

Repair or maintenance of equipment is billed with applicable HCPCS codes for replacement parts. Claims for labor for patient-owned equipment require one of these HCPCS codes.

  • K0739 - Repair or nonroutine service for DME other than oxygen requiring the skill of a technician, labor component, per 15 minutes
  • L4205 - Repair of orthotic device, labor component, per 15 minutes
  • L7520 - Repair of prosthetic device, labor component, per 15 minutes

2024

AK-MT

HCPCS AK AZ CA HI IA ID KS MO MT
K0739 35.79 23.50 29.17 23.50 19.01 19.01 19.01 19.01 19.01
L4205 40.80 28.28 46.48 40.80 28.28 28.28 28.28 28.28 28.27
L7520 48.00 47.32 54.18 48.00 46.03 38.45 48.00 38.45 48.00

ND-WY

HCPCS ND NE NV OR SD UT WA WY
K0739 23.69 19.01 30.27 19.01 21.25 19.06 30.27 26.51
L4205 40.71 28.28 28.28 28.28 28.28 28.28 41.50 37.76
L7520 48.00 53.61 52.40 55.29 51.41 59.87 49.31 53.61

2023

AK-MT

HCPCS AK AZ CA HI IA ID KS MO MT
K0739 34.75 22.82 28.32 22.82 18.46 18.46 18.46 18.46 18.46
L4205 39.61 27.46 45.13 39.61 27.46 27.46 27.46 27.46 27.46
L7520 46.60 45.94 52.60 46.60 44.69 37.33 46.60 37.33 46.60

ND-WY

HCPCS ND NE NV OR SD UT WA WY
K0739 23.00 18.46 29.39 18.46 20.63 18.50 29.39 25.74
L4205 39.52 27.46 27.46 27.46 27.46 27.46 40.29 36.66
L7520 46.60 52.05 50.87 53.68 49.91 58.13 47.87 52.05

2022

AK-MT

HCPCS AK AZ CA HI IA ID KS MO MT
K0739 31.85 20.92 25.96 20.92 16.92 16.92 16.92 16.92 16.92
L4205 36.31 25.17 41.37 36.31 25.17 25.17 25.17 25.17 25.17
L7520 42.71 42.11 48.21 42.71 40.96 34.22 42.71 34.22 42.71

ND-WY

HCPCS ND NE NV OR SD UT WA WY
K0739 21.08 16.92 26.94 16.92 18.91 16.96 26.94 23.59
L4205 36.22 25.17 25.17 25.17 25.17 25.17 36.93 33.60
L7520 42.71 47.71 46.63 49.20 45.75 53.28 43.88 47.71

2021

AK-MT

HCPCS AK AZ CA HI IA ID KS MO MT
K0739 30.22 19.85 24.63 19.85 16.05 16.05 16.05 16.05 16.05
L4205 34.45 23.88 39.25 34.45 23.88 23.88 23.88 23.88 23.88
L7520 40.52 39.95 45.74 40.52 38.86 32.47 40.52 32.47 40.52

ND-WY

HCPCS ND NE NV OR SD UT WA WY
K0739 20.00 16.05 25.56 16.05 17.94 16.09 25.56 22.38
L4205 34.36 23.88 23.88 23.88 23.88 23.88 35.04 31.88
L7520 40.52 45.27 44.24 46.68 43.41 50.55 41.63 45.27

2020

AK-MT

HCPCS AK AZ CA HI IA ID KS MO MT
K0739 30.04 19.73 24.48 19.73 15.95 15.95 15.95 15.95 15.95
L4205 34.24 23.74 24.48 34.24 23.75 23.75 23.75 23.75 23.75
L7520 40.28 39.74 45.47 40.28 38.63 32.28 40.28 32.28 40.28

ND-WY

HCPCS ND NE NV OR SD UT WA WY
K0739 19.88 15.95 25.41 15.95 17.73 15.99 25.41 22.25
L4205 34.16 23.74 23.74 23.74 23.74 23.74 34.83 31.69
L7520 40.28 45.00 43.98 46.40 43.15 50.25 41.38 45.00

2019

AK-MT

HCPCS AK AZ CA HI IA ID KS MO MT
K0739 29.57 19.42 24.09 19.42 15.70 15.70 15.70 15.70 15.70
L4205 33.70 23.37 38.41 33.70 23.37 23.37 23.37 23.37 23.37
L7520 39.65 39.08 44.75 39.65 38.02 31.77 39.65 31.77 39.65

ND-WY

HCPCS ND NE NV OR SD UT WA WY
K0739 19.57 15.70 25.01 15.70 17.55 15.74 25.01 21.90
L4205 33.62 23.37 23.37 23.37 23.37 23.37 34.28 31.19  
L7520 31.77 44.29 43.29 45.67 42.47 49.46 40.73 44.29

2018

AK-MT

HCPCS AK AZ CA HI IA ID KS MO MT
K0739 28.74 18.87 23.41 18.87 15.26 15.26 15.26 15.26 15.26
L4205 32.75 22.71 37.33 32.75 22.71 22.71 22.71 22.71 22.71
L7520 38.53 37.98 43.49 38.53 36.95 30.87 38.53 30.87 38.53

ND-WY

HCPCS ND NE NV OR SD UT WA WY
K0739 19.02 15.26 24.31 15.26 17.06 15.30 24.31 21.28
L4205 32.67 22.71 22.71 22.71 22.71 22.71 33.31 30.31
L7520 38.53 43.04 42.07 44.38 41.27 48.07 38.58 43.04

2017

AK-MT

HCPCS AK AZ CA HI IA ID KS MO MT
K0739 28.29 18.57 23.04 18.57 15.02 15.02 15.02 15.02 15.02
L4205 32.23 22.35 36.74 32.23 22.35 22.35 22.35 22.35 22.35
L7520 37.92 37.38 42.81 37.92 36.37 30.38 37.92 30.38 37.92

ND-WY

HCPCS ND NE NV OR SD UT WA WY
K0739 18.72 15.02 23.93 15.02 16.79 15.06 23.93 20.94
L4205 32.16 22.35 22.35 22.35 22.35 22.35 32.79 29.83
L7520 37.92 42.36 41.41 43.68 40.62 47.31 38.96 42.36

2016

AK-MT

HCPCS AK AZ CA HI IA ID KS MO MT
K0739 28.01 18.39 22.81 18.39 14.87 14.87 14.87 14.87 14.87
L4205 31.91 22.13 36.38 31.91 22.13 22.13 22.13 22.13 22.13
L7520 37.54 37.01 42.39 37.54 36.01 30.08 38.47 30.08 37.54

ND-WY

HCPCS ND NE NV OR SD UT WA WY
K0739 18.53 14.87 23.69 14.87 16.62 14.91 23.69 20.73
L4205 31.84 22.13 22.13 22.13 22.13 22.13 32.47 29.53
L7520 37.54 41.94 41.00 43.25 40.22 46.84 38.57 41.94

2015

AK-MT

HCPCS AK AZ CA HI IA ID KS MO MT
K0739 27.98 18.37 22.79 18.37 14.86 14.86 14.86 14.86 14.86
L4205 31.88 22.11 36.34 31.88 22.11 22.11 22.11 22.11 22.11
L7520 37.50 36.97 42.35 37.50 35.97 30.05 37.50 30.05 37.50

ND-WY

HCPCS ND NE NV OR SD UT WA WY
K0739 18.51 14.86 23.67 14.86 16.60 14.90 23.67 20.71
L4205 31.81 22.11 22.11 22.11 22.11 22.11 32.44 29.50
L7520 37.50 41.90 40.96 43.21 40.18 46.79 38.53 41.00
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