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Massachusetts rates for HCPCS L3020

Foot Insert Removable Molded To Patient Model Longitudinal/ Metatarsal Support Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.94 / $101.94 / $101.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.94 / $128.25 / $270.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.60 / $485.27 / $1,113.14
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.73 / $167.00 / $227.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.74 / $301.27 / $387.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.55 / $152.55 / $153.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.36 / $152.55 / $245.89
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
$188.90 / $188.90 / $198.34
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.43 / $136.12 / $148.54
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.12 / $148.54 / $148.54
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.27 / $1,113.14 / $1,113.14
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.78 / $116.39 / $227.83
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.74 / $208.74 / $208.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.29 / $124.73 / $227.83