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Foot, Molded Shoe, Plastazote, Custom Fitted

Texas rates for HCPCS L3253

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

Rates data updated July 2026.

Facilitymedian $30 · 10th–90th $16$1950%10%20%10th90th$30Professionalmedian $17 · 10th–90th $14$400%20%40%10th90th$17$0.1$0.5$5.0$50.0$500.0$5.0K

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
$16.22
Median
$17.38
Typical High
$25.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$16.60
Typical High
$22.39
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,548.13
Typical High
$4,786.30
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$54.95
Typical High
$54.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$42.66
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
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$33.11
Typical High
$52.48
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$28.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$50.12
Typical High
$54.95
Providence
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$33.88
Typical High
$54.95
Providence
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$54.95
United
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$19.50
Typical High
$28.18
United
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$19.50
Typical High
$36.31
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$77.62
Typical High
$104.71