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Foot, Molded Shoe, Plastazote, Custom Fitted

Massachusetts rates for HCPCS L3253

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

Rates data updated July 2026.

Facilitymedian $39 · 10th–90th $20$2510%20%10th90th$39Professionalmedian $36 · 10th–90th $18$890%20%10th90th$36$0.1$0.5$5.0$50.0$500.0$5.0K$50.0K

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
$20.42
Median
$20.42
Typical High
$20.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$20.42
Typical High
$28.84
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$194.98
Typical High
$245.47
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$35.48
Typical High
$74.13
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
$54.95
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$131.83
Health New England
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$194.98
Typical High
$245.47
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$35.48
Typical High
$74.13
United
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$21.38
Typical High
$38.90
United
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$36.31
Typical High
$89.13