go back

Massachusetts rates for HCPCS L3253

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.58 / $20.58 / $20.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.32 / $20.58 / $28.49
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $165.11 / $236.55
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.93 / $35.86 / $70.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.94 / $54.94 / $54.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.11 / $42.66 / $54.94
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.24 / $88.24 / $92.65
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.32 / $54.32 / $54.32
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.83 / $165.11 / $165.11
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.85 / $23.21 / $47.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.85 / $24.17 / $47.77