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Massachusetts rates for HCPCS L3170

Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.15 / $26.15 / $26.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.38 / $26.15 / $38.31
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.25 / $124.42 / $285.48
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.81 / $40.29 / $58.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.34 / $77.28 / $99.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.72 / $38.72 / $84.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.22 / $34.22 / $36.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.98 / $34.22 / $70.88
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
$48.45 / $48.45 / $50.87
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.14 / $24.14 / $24.14
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.14 / $24.14 / $24.14
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.42 / $285.48 / $285.48
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.77 / $29.86 / $58.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.16 / $31.99 / $59.84