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Massachusetts rates for HCPCS L3040

Foot, arch support, removable, premolded, longitudinal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.18 / $24.18 / $24.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.18 / $26.89 / $44.60
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.35 / $136.22 / $264.05
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.95 / $42.00 / $56.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.42 / $71.45 / $92.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.22 / $33.22 / $33.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.25 / $33.22 / $65.63
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
$44.80 / $44.80 / $47.04
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.29 / $32.29 / $32.29
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.29 / $32.29 / $32.29
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.12 / $264.05 / $264.05
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.06 / $27.61 / $54.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.42 / $28.64 / $54.04