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Massachusetts rates for HCPCS L3216

Orthopedic footwear, ladies shoe, depth inlay, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.52 / $53.52 / $53.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.63 / $53.52 / $74.06
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.60 / $429.26 / $429.26
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.62 / $56.59 / $123.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.13 / $47.13 / $47.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.40 / $47.13 / $114.00
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
$159.91 / $159.91 / $167.92
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.37 / $429.26 / $429.26
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.81 / $60.35 / $123.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.87 / $62.84 / $123.97