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Massachusetts rates for HCPCS L3649

Orthopedic Shoe Modification Addition Or Transfer Not Otherwise Specified (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $15.14 / $15.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $15.14 / $18.17
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $100.00 / $818.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.20 / $34.60 / $34.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.12
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.35 / $25.35 / $25.35
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.62 / $15.62 / $15.62