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Massachusetts rates for HCPCS L3002

Foot insert, removable, molded to patient model, Plastazote or equal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $81.28 / $81.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $95.50 / $288.40
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $194.98 / $912.01
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $141.25 / $194.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $128.82 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $95.50 / $134.90
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
$165.96 / $165.96 / $251.19
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $87.10
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $194.98 / $912.01
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $144.54 / $194.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $102.33 / $234.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $109.65 / $165.96