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Foot, Molded Shoe, Plastazote, Custom Fitted

Missouri rates for HCPCS L3253

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

Rates data updated July 2026.

Facilitymedian $19 · 10th–90th $16$580%20%40%10th90th$19Professionalmedian $22 · 10th–90th $16$680%20%10th90th$22$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
$16.22
Median
$16.22
Typical High
$18.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$16.60
Typical High
$18.20
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$57.54
Typical High
$67.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$57.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$54.95
Medica
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$25.70
Typical High
$158.49
Medica
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$19.50
Typical High
$213.80
United
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$19.50
Typical High
$29.51
United
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$19.05
Typical High
$32.36