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Massachusetts rates for HCPCS L3580

Orthopedic Shoe Addition Convert Instep To Velcro Closure (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.32 / $33.32 / $33.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.32 / $36.72 / $48.85
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.38 / $158.62 / $363.92
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.80 / $54.59 / $74.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.28 / $98.49 / $126.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.62 / $43.62 / $43.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.84 / $43.62 / $90.75
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
$61.76 / $61.76 / $64.84
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.33 / $23.33 / $23.33
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.62 / $363.92 / $363.92
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.03 / $38.04 / $74.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.52 / $40.77 / $74.48