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Massachusetts rates for HCPCS L3540

Orthopedic Shoe Addition Sole Full (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.15 / $26.15 / $26.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.15 / $28.30 / $38.31
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.00 / $124.42 / $285.48
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.38 / $42.84 / $58.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.72 / $36.72 / $36.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.81 / $36.72 / $70.88
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
$48.45 / $48.45 / $50.87
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.29 / $15.29 / $15.29
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.42 / $285.48 / $285.48
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.77 / $29.86 / $58.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.16 / $31.99 / $58.44