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Orthopedic Footwear, Man's Oxford Shoe for Brace

Illinois rates for HCPCS L3225

Orthopedic footwear, man's shoe, Oxford, used as an integral part of a brace (orthosis)

Rates data updated October 2026.

How much does Orthopedic Footwear, Man's Oxford Shoe for Brace cost?

$54.95

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $54.95 for this service. The price depends on where it is billed: about $50.12 from a physician practice, and about $123 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$50.12$45.71 to $69.18
FacilityA hospital or hospital-owned outpatient department$123$105 to $224

How much rates vary

Facilitymedian $123 · 10th to 90th $55 to $513Professionalmedian $50 · 10th to 90th $40 to $105
$50$100$200$500$1Kfacility $123professional $50

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$45.71
Median
$45.71
Typical High
$91.20
Aetna
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$45.71
Typical High
$64.57
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$22.91
Median
$22.91
Typical High
$33.11
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$9.12
Median
$9.12
Typical High
$13.49
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$6.92
Median
$6.92
Typical High
$10.00
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$4.57
Median
$4.57
Typical High
$6.61
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$109.65
Median
$151.36
Typical High
$616.60
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$69.18
Typical High
$69.18
Cigna
Setting
Facility
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Cigna
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$39.81
Typical High
$54.95
Hally Health
Setting
Professional
Modifier
None
Typical Low
$75.86
Median
$89.13
Typical High
$125.89
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
Molina
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$67.61
Typical High
$74.13
United
Setting
Facility
Modifier
None
Typical Low
$51.29
Median
$123.03
Typical High
$123.03
United
Setting
Professional
Modifier
None
Typical Low
$34.67
Median
$44.67
Typical High
$104.71

Where Illinois sits

The same service costs 3.5 times more in Hawaii than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Illinois· 23rd of 51

$54.95

HI $141WV $39.81

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.