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Massachusetts rates for HCPCS L3050

Foot, arch support, removable, premolded, metatarsal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $23.99 / $23.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $28.84 / $61.66
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $56.23 / $263.03
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $42.66 / $56.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $72.44 / $95.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $31.62 / $31.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $22.91 / $33.88
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
$48.98 / $48.98 / $74.13
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $30.90
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $56.23 / $263.03
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $42.66 / $56.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $29.51 / $69.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $32.36 / $48.98