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Massachusetts rates for HCPCS L3265

Plastazote Sandal, Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.15 / $9.15 / $9.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.77 / $9.15 / $12.66
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $90.00 / $141.93
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.97 / $15.64 / $21.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.85 / $38.64 / $53.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.65 / $28.65 / $28.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.91 / $22.97 / $28.65
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
$52.94 / $52.94 / $55.59
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $90.00 / $90.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.49 / $10.31 / $21.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.44 / $10.71 / $19.27