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Foot, Molded Shoe, Plastazote, Custom Fabricated

Texas rates for HCPCS L3252

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

Rates data updated July 2026.

Facilitymedian $117 · 10th–90th $60$5010%10%20%10th90th$117Professionalmedian $68 · 10th–90th $44$1100%20%40%10th90th$68$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
$66.07
Median
$70.79
Typical High
$79.43
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$66.07
Typical High
$91.20
BCBS
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$64.57
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$56.23
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,023.29
Typical High
$1,023.29
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$131.83
Typical High
$208.93
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$114.82
Molina
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$64.57
Typical High
$70.79
Providence
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$131.83
Typical High
$208.93
Providence
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$56.23
United
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$77.62
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$77.62
Typical High
$144.54
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$177.83
Typical High
$239.88