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Foot, Molded Shoe, Plastazote, Custom Fitted

North Carolina rates for HCPCS L3253

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

Rates data updated July 2026.

Facilitymedian $29 · 10th–90th $16$810%20%10th90th$29Professionalmedian $23 · 10th–90th $16$290%20%40%10th90th$23$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
$28.84
Median
$28.84
Typical High
$28.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$28.84
Typical High
$28.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$22.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$54.95
Typical High
$54.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$54.95
Medcost
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$28.84
Typical High
$48.98
United
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$19.50
Typical High
$27.54
United
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$18.62
Typical High
$30.20
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$257.04