Lactora LLC Payment Policy
Effective February 14, 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.
Denied Claims
Clients are responsible for all fees for services denied by insurance, including travel fees.
Charges are based on the scheduled service rate.
An invoice will be sent prior to charging, and the credit card on file will be charged.
If no credit card is on file, payment is expected within 30 days of the invoice date.
Lactora LLC may assist with documentation or appeals, but clients remain responsible for payment while appeals are in process.
Denials due to Lactora LLC errors (e.g., coding mistakes) will not be charged to the client.
Client Responsibility
Verify coverage and benefits, including codes:
S9443 – Lactation consultation
Z39.1 – Care of lactating parent
R63.3 – Feeding problem (infant)
Provide accurate insurance and payment information.
Understand that non-medical fees, travel fees, and denied claims are your responsibility.
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:
Arriving >15 min late or missing appointment → 100% of visit fee + 100% travel fee (if applicable)
Payment & Credit Card
A credit card is required on file for copays, coinsurance, deductible, travel, rescheduling, or cancellation fees.
Payments are processed via PracticeQ; LCA uses Stripe.
Receipts may include visit type/date. Alternative payments (cash or check) available.
Invoices are sent prior to charging. Payment is due within 30 days if no credit card is on file.
Client Consent & Acknowledgment
By scheduling or attending an appointment, you acknowledge and agree to:
Reading and understanding this Payment Policy & Consent
Responsibility for all applicable fees, including travel, cancellations, and denied claims
Consent for Lactora LLC to submit insurance claims on your behalf
Understanding travel fees apply to in-person visits; virtual visits do not include travel fees
Responsibility for missed or late appointments per outlined fees
Responsibility for denied claims not caused by Lactora LLC, charged to your credit card or paid within 30 days