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Foot Insert, Molded, Plastazote

Utah rates for HCPCS L3002

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

Rates data updated July 2026.

Facilitymedian $85 · 10th–90th $56$1950%20%40%10th90th$85Professionalmedian $105 · 10th–90th $56$8320%10%10th90th$105$50.0$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
Facility
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$87.10
Typical High
$831.76
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
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$60.26
Typical High
$177.83
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$194.98
Typical High
$194.98
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$141.25
Typical High
$213.80
Select Health
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
Select Health
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$194.98
Typical High
$199.53
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$199.53
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$87.10
Typical High
$181.97
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$87.10
Typical High
$131.83