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Foot, Molded Shoe, Plastazote, Custom Fabricated

Iowa rates for HCPCS L3252

Foot, shoe molded to patient model, Plastazote (or similar), custom fabricated, each

Rates data updated July 2026.

Facilitymedian $105 · 10th–90th $65$6460%10%20%10th90th$105Professionalmedian $74 · 10th–90th $60$1950%20%40%10th90th$74$0.2$1.0$5.0$20.0$100.0$500.0

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
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$91.20
Typical High
$114.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$74.13
Typical High
$95.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$144.54
Typical High
$223.87
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$354.81
Typical High
$371.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$194.98
Typical High
$645.65
Medica
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$107.15
Typical High
$331.13
Midlands
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$229.09
Typical High
$281.84
Midlands
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$245.47
Typical High
$245.47
United
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$77.62
Typical High
$104.71
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$79.43
Typical High
$162.18
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$218.78
Typical High
$218.78