go back

Foot Insert, Molded, Plastazote

Washington 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$3980%20%10th90th$191Professionalmedian $158 · 10th–90th $95$3390%10%20%10th90th$158$2.0$10.0$50.0$200.0$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
$128.82
Median
$131.83
Typical High
$302.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$128.82
Typical High
$831.76
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$186.21
Typical High
$190.55
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$213.80
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
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$257.04
Typical High
$537.03
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$223.87
Typical High
$398.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$190.55
Typical High
$194.98
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$186.21
Typical High
$190.55
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$275.42
Typical High
$380.19
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$186.21
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$190.55
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$213.80
United
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$281.84
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$100.00
Typical High
$165.96
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$165.96
Typical High
$288.40