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Massachusetts rates for HCPCS L3253

Foot, molded shoe, Plastazote (or similar), custom fitted, each

Facilitymedian $20 · 10th–90th $20–$2510%50%90th$20Professionalmedian $24 · 10th–90th $15–$890%20%10th90th$24$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
$15.14 / $19.95 / $28.18
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $194.98 / $251.19
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $35.48 / $75.86
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $54.95
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
$89.13 / $89.13 / $131.83
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $53.70 / $53.70
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $194.98 / $251.19
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $35.48 / $75.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.03 / $19.50 / $50.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $34.67 / $89.13