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Massachusetts rates for HCPCS L3630

Transfer Of An Orthosis From One Shoe To Another Solid Stirrup New (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.62 / $51.62 / $51.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.62 / $57.42 / $75.68
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.25 / $245.75 / $563.71
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $84.55 / $115.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.36 / $91.08 / $91.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.56 / $67.56 / $67.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.33 / $67.56 / $140.25
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
$95.66 / $95.66 / $100.44
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.41 / $72.41 / $72.41
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.75 / $563.71 / $563.71
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.96 / $58.94 / $115.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.72 / $63.15 / $115.38