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Foot Insert, Molded, Plastazote

Michigan rates for HCPCS L3002

Foot insert, removable, molded to patient model, Plastazote or equal, each

Rates data updated July 2026.

Facilitymedian $234 · 10th–90th $100$7940%10%20%10th90th$234Professionalmedian $112 · 10th–90th $91$1950%20%10th90th$112$0.2$1.0$5.0$20.0$100.0$500.0

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
$112.20
Median
$112.20
Typical High
$112.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$104.71
Typical High
$112.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$588.84
Typical High
$1,122.02
BCBS
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$194.98
Typical High
$204.17
CareSource
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$128.82
Typical High
$213.80
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$371.54
Typical High
$416.87
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$154.88
Typical High
$239.88
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$162.18
Typical High
$213.80
United
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$158.49
Typical High
$234.42
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$91.20
Typical High
$138.04