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Massachusetts rates for HCPCS L5000

Partial foot, shoe insert with longitudinal arch, toe filler

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $263.03 / $263.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $338.84 / $707.95
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $616.60 / $3,388.44
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $467.74 / $616.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $354.81 / $1,071.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $512.86 / $512.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $446.68 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $338.84 / $457.09
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $812.83
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $354.81 / $407.38
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $616.60 / $3,388.44
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $467.74 / $676.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.48 / $457.09 / $831.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $436.52 / $524.81