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Foot, Molded Shoe, Plastazote, Custom Fitted

Montana rates for HCPCS L3253

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

Rates data updated July 2026.

Facilitymedian $51 · 10th–90th $25$540%50%10th90th$51Professionalmedian $19 · 10th–90th $14$520%10%20%10th90th$19$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
$14.13
Median
$15.14
Typical High
$23.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$54.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$47.86
Typical High
$54.95
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$52.48
Typical High
$52.48
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$52.48
Typical High
$52.48
Providence
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$35.48
Typical High
$56.23
Providence
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$54.95
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$24.55
Typical High
$51.29
United
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$19.50
Typical High
$29.51