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Foot, Molded Shoe, Plastazote, Custom Fitted

Vermont rates for HCPCS L3253

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

Rates data updated July 2026.

Facilitymedian $51 · 10th–90th $15$550%50%10th90th$51Professionalmedian $21 · 10th–90th $19$330%20%40%10th90th$21$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
$19.50
Median
$19.50
Typical High
$23.44
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
United
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$19.50
Typical High
$51.29
United
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$29.51
Typical High
$64.57