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Massachusetts rates for HCPCS L3090

Foot, arch support, nonremovable, attached to shoe, longitudinal/metatarsal, each

Facilitymedian $28 · 10th–90th $20–$2340%20%40%10th90th$28Professionalmedian $29 · 10th–90th $20–$470%20%10th90th$29$0.1$0.5$5.0$50.0$500.0$5.0K$50.0K

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
$19.95 / $19.95 / $19.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $23.99 / $43.65
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $48.98 / $234.42
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $37.15 / $48.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $27.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $30.90
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
$41.69 / $41.69 / $63.10
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $48.98 / $234.42
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $37.15 / $48.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $25.70 / $60.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $32.36 / $41.69