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Foot Insert, Molded, Plastazote

South Dakota rates for HCPCS L3002

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

Rates data updated July 2026.

Facilitymedian $182 · 10th–90th $132$2690%10%10th90th$182Professionalmedian $166 · 10th–90th $123$2820%20%10th90th$166$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$134.90
Typical High
$165.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$218.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$281.84
Medica
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$190.55
Typical High
$371.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$131.83
Typical High
$977.24
Midlands
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$213.80
Typical High
$213.80
Midlands
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Midlands
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$354.81
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$194.98
Typical High
$263.03
United
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$102.33
Typical High
$144.54
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$131.83
Typical High
$229.09
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21