You should not have to do anything to use any cell booster behind pfSense in its default configuration. If you have messed about with the default outbound NAT static port on port 500 or something, maybe you might have to undo that.
They generally initiate an OUTBOUND IPsec connection to the cell provider. Nothing should be required on the firewall. No special rules, no special port forwards, etc.
They generally require a good GPS signal and can take a LONG TIME to sync up.
The best we can try to do if it is not working is interpret the specific instructions or guidance they provided. You would need to post that.
Port mapping rule for UDP/4500 on WAN interface -> 10.42.0.2:UDP/4500
You do not need this for an outbound connection.
Manual outbound NAT configured - only a rule for * -> WAN address configured for the 10.42.0.0/30 subnet
Why manual? Automatic will capture that.
Currently an additional rule for UDP/any going to WAN interface
Zero idea what that means. Post the rule.
I realize those were posted a while ago by someone else but you stated you did the same thing.