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Massachusetts rates for HCPCS L3201

Orthopedic Shoe Oxford With Supinator Or Pronator Infant (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.24 / $24.24 / $24.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.57 / $24.24 / $34.04
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $157.69 / $194.47
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.12 / $45.53 / $68.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.06 / $30.06 / $30.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.94 / $30.06 / $40.13
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
$58.84 / $58.84 / $61.78
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.61 / $38.61 / $38.61
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.11 / $194.47 / $194.47
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.84 / $27.34 / $56.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.84 / $27.83 / $51.17