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Massachusetts rates for HCPCS L3230

Orthopedic footwear, custom shoe, depth inlay, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.53 / $77.53 / $77.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.00 / $77.53 / $107.30
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.00 / $621.91 / $788.50
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.54 / $135.08 / $259.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.08 / $139.08 / $139.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.53 / $101.53 / $225.75
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
$294.14 / $294.14 / $308.86
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.84 / $621.91 / $621.91
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.46 / $87.43 / $179.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.46 / $89.63 / $159.16