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Massachusetts rates for HCPCS L3209

Surgical Boot Each Child (Special Coverage Instructions Apply. See Mcm: 2079)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.30 / $18.30 / $18.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.28 / $18.30 / $25.32
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.41 / $146.78 / $205.01
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.99 / $18.05 / $42.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.60 / $27.60 / $27.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.14 / $27.60 / $30.38
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
$76.48 / $76.48 / $80.31
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.41 / $146.78 / $146.78
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.98 / $20.63 / $42.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.34 / $20.63 / $38.53