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Foot, Molded Shoe, Plastazote, Custom Fitted

Indiana rates for HCPCS L3253

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

Rates data updated July 2026.

Facilitymedian $51 · 10th–90th $14$1320%20%10th90th$51Professionalmedian $18 · 10th–90th $14$760%20%10th90th$18$0.1$0.2$1.0$5.0$20.0$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
Facility
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$14.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$15.14
Typical High
$20.42
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$131.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$67.61
Typical High
$107.15
CareSource
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$173.78
Typical High
$245.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$54.95
Typical High
$54.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$54.95
United
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$19.50
Typical High
$37.15
United
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$19.50
Typical High
$33.11