go back

Foot, Molded Shoe, Plastazote, Custom Fitted

Tennessee rates for HCPCS L3253

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

Rates data updated July 2026.

Facilitymedian $55 · 10th–90th $17$1950%20%10th90th$55Professionalmedian $17 · 10th–90th $15$290%20%10th90th$17$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
$15.14
Median
$16.60
Typical High
$26.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$16.60
Typical High
$23.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$66.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$257.04
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$20.89
Typical High
$31.62
United
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$17.38
Typical High
$29.51