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Massachusetts rates for HCPCS L3420

Full Sole And Heel Wedge Between Sole (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.11 / $28.11 / $28.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.11 / $30.41 / $41.18
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.75 / $133.76 / $306.82
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.66 / $46.03 / $62.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.78 / $36.78 / $36.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.85 / $26.85 / $76.50
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
$52.09 / $52.09 / $54.69
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.74 / $25.74 / $25.74
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.76 / $306.82 / $306.82
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.47 / $32.09 / $62.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.48 / $78.48 / $78.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.89 / $34.38 / $62.82