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Massachusetts rates for HCPCS L3000

Foot Insert Removable Molded To Patient Model Ucb Type Berkeley Shell Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.40 / $161.40 / $161.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.40 / $203.06 / $790.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.07 / $768.33 / $1,762.49
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.30 / $264.39 / $360.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.27 / $211.27 / $211.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.49 / $211.27 / $389.31
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.10 / $299.10 / $314.06
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.46 / $180.46 / $180.46
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.46 / $180.46 / $394.93
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$768.33 / $1,762.49 / $1,762.49
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.57 / $184.30 / $360.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.30 / $191.17 / $369.41