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Massachusetts rates for HCPCS L3003

Foot insert, removable, molded to patient model, silicone gel, each

Facilitymedian $129 · 10th–90th $89–$1,0000%20%40%10th90th$129Professionalmedian $126 · 10th–90th $89–$2000%20%10th90th$126$0.2$2.0$20.0$200.0$2.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $89.13 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $104.71 / $190.55
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $208.93 / $1,000.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $158.49 / $208.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $147.91 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $109.65 / $154.88
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $3,630.78 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $177.83 / $269.15
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $81.28 / $81.28
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $208.93 / $1,000.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $158.49 / $208.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $109.65 / $257.04
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $141.25 / $177.83