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Massachusetts rates for HCPCS L3202

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.79 / $23.79 / $23.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.17 / $23.79 / $32.92
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.80 / $190.81 / $202.39
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.72 / $44.73 / $64.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.29 / $30.29 / $30.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.11 / $30.29 / $66.75
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
$70.59 / $70.59 / $74.12
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.37 / $50.37 / $50.37
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.84 / $190.81 / $190.81
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.47 / $26.82 / $55.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.47 / $27.99 / $50.17