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Foot, Molded Shoe, Plastazote, Custom Fitted

Alaska rates for HCPCS L3253

Foot, molded shoe, Plastazote (or similar), custom fitted, each

Rates data updated July 2026.

Facilitymedian $15 · 10th–90th $15$550%50%90th$15Professionalmedian $30 · 10th–90th $16$1200%20%10th90th$30$20.0$50.0$100.0

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
$14.45
Median
$20.42
Typical High
$30.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$58.88
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$43.65
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$42.66
Typical High
$60.26
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$120.23
Typical High
$120.23
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$120.23
Typical High
$165.96
Providence
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$53.70
Providence
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$54.95
Typical High
$60.26
United
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$24.55
Typical High
$51.29
United
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$36.31
Typical High
$107.15