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Foot, Molded Shoe, Plastazote, Custom Fabricated

Washington rates for HCPCS L3252

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

Rates data updated July 2026.

Facilitymedian $209 · 10th–90th $123$3090%10%20%10th90th$209Professionalmedian $123 · 10th–90th $63$2950%20%10th90th$123$2.0$10.0$50.0$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
Facility
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$288.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$117.49
Typical High
$123.03
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$181.97
Typical High
$338.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$56.23
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$263.03
Typical High
$371.54
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$263.03
Typical High
$331.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$50.12
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$199.53
Typical High
$239.88
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$165.96
Typical High
$165.96
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$229.09
Typical High
$316.23
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$181.97
Typical High
$338.84
United
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$85.11
Typical High
$102.33
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$91.20
Typical High
$134.90
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$158.49
Typical High
$269.15