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Miranda Farmer RN, BSN, CBS, IBCLC
Pricing for Services
If you have insurance from one of the networks listed below and want to utilize your insurance benefits for a consultation, you can apply here.
After submitting the form via the TLN website, you’ll get an email in 1-2 days saying approved or denied. If approved, you will have 6 sessions 100% covered (free to you) by insurance. I do charge a travel fee for in-home visits, this is not covered by insurance.
I am currently contracted with most:
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Blue Cross Blue Shield PPO
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Anthem PPO
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Cigna PPO
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VA CCN (Community Care Network)
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PNOA (logo on card)
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Multiplan (logo on card)
If you would like to pay out of pocket, my fees are a standard $220 for a 1.5 hour consultation (in-home or virtual) plus travel fee*
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All fees are to be collected in a lump sum upon completion of the consultation.
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Payment is acceptable in the form of personal check, Venmo, Zelle, or cash.
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In-person home visits:
If you live within 30 miles of me, I can travel to you for an in-person home visit. In-home visits are always preferred when you are having latching difficulties or supply problems in order to get a full, comprehensive assessment. I do charge a travel fee to cover the time and costs associated with reaching your location.
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Virtual consultations:
I now offer virtual consults via Zoom, FaceTime, or a secure network via TLN, whichever is easier for you to access. There is no additional travel charge for virtual visits. Prenatal and breastfeeding consultations are both offered virtually. Virtual consultations are a great option when you live outside my service area or if you have minor breastfeeding difficulties. You do miss out on the hands-on element of consultations.
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Travel fees:
+$30 within 15 miles of Lone Star Rd in North Auburn.
+$60 within 30 miles of Lone Star Rd in North Auburn.
of Lone Star Rd in North Auburn.
I know breastfeeding is not easy, I'm here to support you.
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Together, we will review your goals, concerns, and create a feeding plan that is personalized to what you need.
Lactation Consultations:
prenatal classes and breastfeeding help
Call or text Miranda to schedule a consultation in-person or virtually.
Prenatal Consultation
(AKA Prenatal Breastfeeding Class)
includes:
One-on-one consultation
Review of medical history
Assessment of breasts and nipples
Previous breastfeeding concerns
Review current concerns
Review of latch
Basics of milk production
How to latch
Breastfeeding positions
Prevention of nipple pain
Education on flat/inverted nipples
Antenatal colostrum harvesting
Teaching hand expression
Breast pump flange sizing
How to obtain a breast pump
Choosing a breast pump
Recommendations on referrals
How to increase milk supply
Plan for success
Unlimited texting with questions
Follow-up as needed after birth
Breastfeeding Consultation
(for breastfeeding help)
includes:
Review of significant medical history
Review current medications
Assessment of breasts and nipples
Newborn oral anatomy assessment
Latch assessment
Review of latch
How to latch without pain
Newborn weight
Milk transfer assessment
Pre and post weight feeds
Solutions for breast/nipple pain
Assess for undersupply or oversupply
Managing milk supply
Breast pump flange sizing
Assistance with pumping as needed
Education on oral restrictions
Recommendations on referrals
Create a feeding plan
Unlimited texting with questions
Follow-up visits as needed
What can you expect to learn or gain from a consultation?
For prenatal consultations, this is a one-on-one breastfeeding class. This is all you need to know about the basics of breastfeeding in one class!
It is important to learn how to breastfeed BEFORE you deliver your baby. You can imagine how difficult it could be to learn a new skill after running a 24 hour+ marathon (labor) or having a major surgery (Cesarean section birth). In this state, you will most likely be exhausted mentally and physically and you probably just want to soak in all those blissful newborn moments. However, you need to feed that baby and breastfeeding (although natural) does not usually come easy for most people. It is a learned SKILL.
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In a prenatal consultation, you will learn how to start a successful breastfeeding journey to reach your breastfeeding goals.
You should expect to learn the following:
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how to hand express and collect colostrum
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use of breast pumps
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how to choose and obtain a breast pump from insurance
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when and how to use nipple shields and everters
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breastfeeding positions based on YOUR breasts
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nipple care and how to prevent sore and damaged nipples
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breast milk storage guidelines
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ANY other concerns you may have
For breastfeeding consultations, this is for breastfeeding moms who are having challenges and need help. Together, we will work to reach your breastfeeding goals and work toward solutions for problems you may be experiencing. We will explore your concerns and make a feeding plan specific to your goals and needs.
Breastfeeding concerns we can address in a breastfeeding consultation include but are not limited to:
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low milk supply
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overactive milk ejection reflex
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perceived insufficient supply
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return to work
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infant "popping off" and unable to maintain a latch
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shallow latch
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painful latch
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infant biting
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damaged nipples
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infant "spits up a lot"
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plugged ducts
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infant with slow/low weight gain
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engorgement
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stress surrounding feedings
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breastfeeding a medication use
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infant refusing to latch
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infant "feeds all the time"
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weaning
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bottle feeding
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etc.
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