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Foot, Molded Shoe, Plastazote, Custom Fitted

Oregon rates for HCPCS L3253

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

Rates data updated July 2026.

Facilitymedian $59 · 10th–90th $49$930%20%40%10th90th$59Professionalmedian $28 · 10th–90th $16$630%20%10th90th$28$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
$27.54
Median
$27.54
Typical High
$27.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$23.99
Typical High
$30.20
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
$39.81
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$70.79
Typical High
$83.18
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$30.90
Typical High
$66.07
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$60.26
Typical High
$93.33
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
Providence
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$30.90
Typical High
$64.57
Providence
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$79.43
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$97.72
Typical High
$125.89
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$83.18
United
Setting
Facility
Modifier
Global
Typical Low
$0.03
Median
$18.20
Typical High
$50.12
United
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$19.50
Typical High
$32.36