Lactora LLC Payment Policy
Effective May 16, 2026
Thank you for choosing LACTORA LLC for your lactation consultation needs. This policy explains our services, fees, insurance, cancellations, denied claims policy, and payment terms. By scheduling an appointment, you agree to these terms.
Services & Fees
Prenatal Consultation (60 min): $225 – Includes preparation and individualized care plan
Initial Lactation Consultation (60 min): $225 – First postnatal visit; includes assessment, latch, pumping plan if needed
Follow-Up Consultation (45 min): $190 – Ongoing support and troubleshooting
Additional Time: $30 per 15 min – For extended visits or complex needs
Multiples (Per Additional Infant): $100 – Covers additional time, individualized assessment, and guidance
Travel Fee (In-Person Visits): $125 – Required for all home visits; not reimbursable by insurance
Non-Medical Classes: $75–$175 – Per LCA/TLN guidelines; not reimbursable by insurance
Late Cancellation Fee (<48 hrs): $100 – COVID-19/contagious illness exceptions apply
No-Show Fee: $175–$225+ – Charged for missed appointments without notice; fee amount is based on the scheduled service
Note: Virtual visits do not incur a travel fee. Clients may choose telehealth as an alternative to in-person visits.
Insurance Coverage
Lactora LLC Direct Services:
Clients are responsible for verifying coverage and submitting claims.
Lactora LLC cannot guarantee insurance reimbursement.
Claims for both parent and baby may be submitted if in-network.
Most lactation claims involve cost-sharing (deductible, copay, or coinsurance).
Travel fees and non-medical classes are not reimbursable.
LCA Clients:
Claims may be submitted for both parent and baby if in-network.
Clients are responsible for cost-sharing.
Travel fees and non-medical classes are not reimbursable.
TLN Clients:
TLN-approved visits may be fully covered with no out-of-pocket cost.
Once TLN-approved visits are exhausted, standard Lactora LLC rates, including travel fees, apply.
Coverage determinations are made by TLN and insurance, not LACTORA LLC.
Superbills for Insurance Reimbursement
Upon request, LACTORA LLC may provide a superbill for self-pay clients to submit to insurance for possible reimbursement.
Please note:
Reimbursement is not guaranteed.
Clients are responsible for communicating with their insurance company.
LACTORA LLC is not responsible for denied or partial reimbursement.
Denied Claims
Clients are financially responsible for all charges incurred under their care, including services that are denied, reduced, or applied to deductible by insurance.
This includes:
All lactation consultation services.
Copayments, deductibles, coinsurance.
Denied or non-covered services.
Travel fees and other non-reimbursable charges.
If a claim is denied, reduced, or not paid in full:
The client is responsible for the remaining balance.
Charges are based on the scheduled service rate at the time services were rendered.
LACTORA LLC may assist with documentation or appeals when appropriate; however, financial responsibility remains with the client during the appeal process.
Claims denied solely due to a LACTORA LLC billing or coding error will not be charged to the client.
Payment & Credit Card Authorization
A valid credit card is required to remain on file for all clients.
By scheduling or receiving services, you authorize LACTORA LLC to securely store and charge your card on file through PracticeQ (or Stripe for LCA clients) for all services and fees incurred, including:
Scheduled services
Travel fees
Additional time or services rendered
Late cancellation and no-show fees
Insurance patient responsibility amounts (copays, deductibles, coinsurance, denied claims, or non-covered services)
You understand and agree that:
Charges may be processed without additional authorization once services are rendered or fees are incurred
Invoices or insurance statements (EOBs) may be provided for informational purposes but are not required prior to processing payment
Payment information is securely stored through HIPAA-compliant processors
You are responsible for keeping an active payment method on file
If no card is on file, payment is due within 30 days of invoice
Alternative payment methods may be accepted at LACTORA LLC’s discretion
Failure to maintain a valid payment method may result in delayed scheduling or suspension of services
Client Responsibility
Clients agree to:
Verify insurance coverage and benefits in advance
Understand and accept responsibility for all non-covered services
Understand that travel fees, non-medical services, and denied claims are client responsibility
Provide accurate insurance and payment information
Use the following codes when verifying benefits:
S9443 – Lactation consultation
Z39.1 – Care of lactating parent
R63.3 – Feeding problem (infant)
Cancellations, Rescheduling & No-Shows
Rescheduling:
≥48 hours in advance → no charge
<48 hours → $100 Late Change Fee (exceptions for emergencies)
Cancellations:
≥48 hours → no fee
<48 hours → $100 Late Cancellation Fee + 25% of travel fee (if applicable)
COVID-19/contagious illness → can reschedule to virtual visit same date/time with no fee
No-Show:
Missing appointment or >15 minutes late without notice:
100% of visit fee
100% of travel fee (if applicable)
Client Consent & Acknowledgment
By scheduling or attending an appointment, you acknowledge and agree that:
You have read and understand this Payment Policy in full
You are financially responsible for all services, fees, and denied claims
LACTORA LLC does not guarantee insurance reimbursement
Travel fees apply to in-person visits; virtual visits do not include travel fees
You authorize insurance claim submission on your behalf when applicable
You are responsible for all cancellation, rescheduling, and no-show fees as outlined above
You authorize LACTORA LLC to charge your card on file for all services and fees incurred in accordance with this policy