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Foot, Molded Shoe, Plastazote, Custom Fitted

Rhode Island rates for HCPCS L3253

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

Rates data updated July 2026.

Facilitymedian $25 · 10th–90th $19$550%20%10th90th$25Professionalmedian $22 · 10th–90th $17$340%20%40%10th90th$22$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$20.42
Typical High
$25.12
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
United
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$24.55
United
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$26.92
Typical High
$38.02