go back

Foot, Molded Shoe, Plastazote, Custom Fitted

Arizona rates for HCPCS L3253

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

Rates data updated July 2026.

Facilitymedian $42 · 10th–90th $15$1350%10%10th90th$42Professionalmedian $19 · 10th–90th $12$400%20%10th90th$19$0.1$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
Professional
Modifier
Global
Typical Low
$11.22
Median
$16.98
Typical High
$30.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$70.79
Typical High
$138.04
BCBS
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$66.07
Typical High
$131.83
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
$39.81
Medica
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$22.91
Typical High
$158.49
Medica
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$19.50
Typical High
$213.80
United
Setting
Facility
Modifier
Global
Typical Low
$0.32
Median
$19.50
Typical High
$23.99
United
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$19.50
Typical High
$36.31