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Massachusetts rates for HCPCS L3570

Orthopedic shoe addition, special extension to instep (leather with eyelets)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.80 / $43.80 / $43.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.80 / $47.41 / $64.19
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.00 / $208.46 / $478.20
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.36 / $71.73 / $97.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,859.26 / $3,859.26 / $11,462.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.65 / $69.65 / $69.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.84 / $69.65 / $118.88
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
$81.16 / $81.16 / $85.22
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.41 / $63.41 / $63.41
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.46 / $478.20 / $478.20
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.47 / $50.01 / $97.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.79 / $53.57 / $97.90