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Massachusetts rates for HCPCS L3201

Orthopedic shoe, Oxford with supinator or pronator, infant

Facilitymedian $24 · 10th–90th $24–$2400%20%40%90th$24Professionalmedian $28 · 10th–90th $18–$590%20%10th90th$28$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
$23.99 / $23.99 / $23.99
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $23.99 / $34.67
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $158.49 / $239.88
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $42.66 / $74.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $39.81
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
$58.88 / $58.88 / $89.13
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $28.84
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $158.49 / $239.88
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $42.66 / $74.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.04 / $22.91 / $45.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $40.74 / $58.88