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Foot, Molded Shoe, Plastazote, Custom Fitted

Washington rates for HCPCS L3253

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

Rates data updated July 2026.

Facilitymedian $60 · 10th–90th $32$930%10%20%10th90th$60Professionalmedian $30 · 10th–90th $19$740%20%10th90th$30$0.5$2.0$10.0$50.0

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
$30.20
Median
$30.20
Typical High
$72.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$29.51
Typical High
$30.20
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$44.67
Typical High
$85.11
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
$42.66
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$66.07
Typical High
$93.33
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$66.07
Typical High
$83.18
Molina
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$50.12
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$60.26
Typical High
$93.33
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$40.74
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$56.23
Typical High
$79.43
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$44.67
Typical High
$85.11
United
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$21.38
Typical High
$25.70
United
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$22.91
Typical High
$33.88
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$67.61
Typical High
$70.79