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Foot, Molded Shoe, Plastazote, Custom Fabricated

Wisconsin rates for HCPCS L3252

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

Rates data updated July 2026.

Facilitymedian $112 · 10th–90th $60$6170%10%20%10th90th$112Professionalmedian $91 · 10th–90th $62$2880%20%10th90th$91$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
$61.66
Median
$61.66
Typical High
$61.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$91.20
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$158.49
Typical High
$173.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$371.54
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$154.88
Typical High
$173.78
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$93.33
Typical High
$234.42
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$380.19
Typical High
$524.81
Medica
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$120.23
Typical High
$645.65
Medica
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$93.33
Typical High
$190.55
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$64.57
Typical High
$316.23
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$93.33
Typical High
$234.42
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Quartz
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$281.84
Typical High
$398.11
Quartz
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$234.42
Typical High
$776.25
Quartz
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$186.21
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$85.11
Typical High
$100.00
United
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$77.62
Typical High
$144.54