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Foot, Molded Shoe, Plastazote, Custom Fitted

New Hampshire rates for HCPCS L3253

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

Rates data updated July 2026.

Facilitymedian $23 · 10th–90th $23$280%50%10th90th$23Professionalmedian $68 · 10th–90th $20$890%20%10th90th$68$20.0$50.0$100.0$200.0

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
$23.44
Median
$23.44
Typical High
$28.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$23.44
Typical High
$28.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
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
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$162.18
United
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$20.42
Typical High
$51.29
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$34.67
Typical High
$89.13