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Massachusetts rates for HCPCS L5000

Partial Foot Shoe Insert With Longitudinal Arch Toe Filler (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.97 / $264.97 / $264.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.97 / $294.75 / $494.44
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.02 / $978.67 / $3,426.22
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.11 / $466.21 / $592.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.77 / $350.77 / $1,041.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.81 / $509.76 / $509.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.77 / $445.72 / $459.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.73 / $335.73 / $802.13
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
$491.01 / $491.01 / $515.55
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$807.10 / $807.10 / $807.10
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.83 / $403.55 / $403.55
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,404.50 / $3,426.22 / $3,426.22
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.66 / $327.39 / $592.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.38 / $324.16 / $592.22