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Foot Insert, Molded, Plastazote

Montana rates for HCPCS L3002

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

Rates data updated July 2026.

Facilitymedian $191 · 10th–90th $129$2400%20%10th90th$191Professionalmedian $155 · 10th–90th $65$3720%20%10th90th$155$100.0$200.0$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
Professional
Modifier
Global
Typical Low
$56.23
Median
$102.33
Typical High
$831.76
BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$208.93
Typical High
$208.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$208.93
Typical High
$208.93
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$190.55
Typical High
$371.54
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$190.55
Typical High
$371.54
Providence
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$181.97
Typical High
$234.42
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$154.88
Typical High
$208.93
United
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$100.00
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$87.10
Typical High
$131.83