Yup, my friend has some of these that were custom made based on his ears. They seem to be much much better for him as a result. I don't believe they were inexpensive though, at least what he had made.
They're still probably pretty price competitive with hearing aids.
As I recall it was a couple hundred bucks for the ear pieces plus the cost of the AirPods. So, yea, probably around the same price as MSRP AirPods Max.