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Massachusetts rates for HCPCS L3001

Foot, insert, removable, molded to patient model, Spenco, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $67.61 / $67.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $79.43 / $144.54
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $158.49 / $741.31
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $117.49 / $158.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $91.20
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
$134.90 / $134.90 / $208.93
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $56.23
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $158.49 / $741.31
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $120.23 / $158.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $83.18 / $194.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $89.13 / $134.90