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Massachusetts rates for HCPCS L3000

Foot insert, removable, molded to patient model, UCB type, Berkeley shell, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $162.18 / $162.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $245.47 / $870.96
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $363.08 / $1,778.28
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $275.42 / $380.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $208.93 / $208.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $154.88 / $223.87
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $489.78
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $181.97 / $181.97
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $213.80
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $363.08 / $1,778.28
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $281.84 / $380.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.27 / $199.53 / $457.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $213.80 / $323.59