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Massachusetts rates for HCPCS L3030

Foot Insert Removable Formed To Patient Foot Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.22 / $39.22 / $39.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.22 / $47.06 / $187.94
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.84 / $199.50 / $428.17
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.21 / $64.23 / $87.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.19 / $133.87 / $172.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.54 / $61.54 / $61.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.92 / $61.54 / $133.13
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
$72.67 / $72.67 / $76.30
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.30 / $68.30 / $68.30
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.50 / $428.17 / $428.17
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.15 / $44.78 / $87.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.06 / $47.98 / $87.65