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Massachusetts rates for HCPCS L3225

Orthopedic Footwear Mans Shoe Oxford Used As An Integral Part Of A Brace (Orthosis) (Special Coverage Instructions Apply. See Mcm: 2323d)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.40 / $44.40 / $44.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.40 / $44.40 / $59.18
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.92 / $301.22 / $482.65
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.22 / $72.73 / $99.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.84 / $131.19 / $168.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.53 / $68.70 / $68.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.54 / $54.54 / $74.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $54.54 / $103.13
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
$82.28 / $82.28 / $86.39
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.72 / $59.72 / $59.72
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.51 / $482.65 / $482.65
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.79 / $50.69 / $99.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.85 / $50.69 / $82.28