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Massachusetts rates for HCPCS L3540

Orthopedic shoe addition, sole, full

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $25.70 / $25.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $30.20 / $54.95
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $60.26 / $288.40
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $44.67 / $61.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $26.92 / $38.90
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 / $79.43
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.14 / $15.14
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $60.26 / $288.40
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $45.71 / $61.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $32.36 / $74.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $34.67 / $52.48