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Massachusetts rates for HCPCS L3090

Foot Arch Support Non-Removable Attached To Shoe Longitudinal/Metatarsal Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.91 / $20.91 / $20.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.91 / $22.64 / $30.64
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.00 / $99.55 / $228.34
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.85 / $34.27 / $46.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.38 / $27.38 / $27.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $27.38 / $57.00
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
$38.77 / $38.77 / $40.71
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.01 / $20.01 / $20.01
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.55 / $228.34 / $228.34
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $23.89 / $46.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.52 / $23.89 / $46.75