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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 July 2026.

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

$48.98

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $48.98 for this service. The price depends on where it is billed: about $48.98 from a physician practice, and about $91.20 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$48.98$45.71 to $69.18
FacilityA hospital or hospital-owned outpatient department$91.20$45.71 to $162

How much rates vary

Facilitymedian $91 · 10th to 90th $46 to $457Professionalmedian $49 · 10th to 90th $36 to $91
$0.1$1.0$10.0$100.0$1.0Kfacility $91professional $49

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$91.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$45.71
Typical High
$91.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$173.78
Typical High
$616.60
BCBS
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$69.18
Typical High
$69.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$60.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$102.33
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$97.72
Typical High
$125.89
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$114.82
Molina
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$67.61
United
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$72.44
Typical High
$91.20
United
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$44.67
Typical High
$77.62

Where Illinois sits

The same service costs 4.5 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Illinois $48.98 · 25th of 51
HI $141DC $31.62

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.