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Foot, Molded Shoe, Plastazote, Custom Fabricated

Montana rates for HCPCS L3252

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

Rates data updated July 2026.

Facilitymedian $204 · 10th–90th $89$2140%50%10th90th$204Professionalmedian $78 · 10th–90th $56$2090%20%10th90th$78$50.0$100.0$200.0

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
Professional
Modifier
Global
Typical Low
$56.23
Median
$61.66
Typical High
$95.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$194.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$190.55
Typical High
$190.55
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$208.93
Typical High
$213.80
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$208.93
Typical High
$213.80
Providence
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$114.82
Typical High
$223.87
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$125.89
Typical High
$229.09
United
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$93.33
Typical High
$97.72
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$77.62
Typical High
$117.49