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Massachusetts rates for HCPCS L3002

Foot Insert Removable Molded To Patient Model Plastazote Or Equal Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.98 / $82.98 / $82.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.98 / $92.31 / $171.31
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.15 / $395.02 / $906.14
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.75 / $135.93 / $185.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.63 / $129.63 / $129.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.64 / $94.64 / $225.75
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
$153.77 / $153.77 / $161.46
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.57 / $86.57 / $86.57
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.02 / $906.14 / $906.14
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.27 / $94.75 / $185.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.50 / $101.52 / $185.48