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Foot Insert, Molded, Plastazote

Tennessee rates for HCPCS L3002

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

Rates data updated July 2026.

Facilitymedian $155 · 10th–90th $85$9330%20%10th90th$155Professionalmedian $93 · 10th–90th $87$1700%50%10th90th$93$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
$87.10
Median
$95.50
Typical High
$154.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$93.33
Typical High
$165.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$158.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$128.82
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,412.54
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$102.33
Typical High
$199.53
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$93.33
Typical High
$128.82