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Foot Insert, Molded, Plastazote

New Hampshire rates for HCPCS L3002

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

Rates data updated July 2026.

Facilitymedian $195 · 10th–90th $107$2340%20%10th90th$195Professionalmedian $117 · 10th–90th $83$1660%20%10th90th$117$100.0$200.0$500.0$1.0K

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
$107.15
Median
$107.15
Typical High
$128.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$107.15
Typical High
$128.82
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$208.93
Typical High
$234.42
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$117.49
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
$95.50
Typical High
$128.82
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$91.20
Typical High
$112.20
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$109.65
Typical High
$165.96
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$269.15