go back

Massachusetts rates for HCPCS L3265

Plastazote sandal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $8.91 / $15.14
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $89.13 / $147.91
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $15.85 / $26.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $40.74 / $46.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $28.84 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $28.84
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $52.48 / $81.28
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $89.13 / $147.91
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $15.85 / $26.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $8.71 / $34.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $12.88 / $52.48