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Orthopedic Footwear, Man's Oxford Shoe for Brace

Massachusetts 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?

$89.13

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $89.13 for this service. The price depends on where it is billed: about $83.18 from a physician practice, and about $126 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 9 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$83.18$44.67 to $89.13
FacilityA hospital or hospital-owned outpatient department$126$100 to $155

How much rates vary

Facilitymedian $126 · 10th to 90th $45 to $200Professionalmedian $83 · 10th to 90th $40 to $135
$0.1$1.0$10.0$100.0$1.0K$10.0Kfacility $126professional $83

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
$44.67
Median
$44.67
Typical High
$44.67
Aetna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$44.67
Typical High
$141.25
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$100.00
Typical High
$489.78
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$79.43
Typical High
$123.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$131.83
Typical High
$177.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$70.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$57.54
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$134.90
Health New England
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$100.00
Typical High
$489.78
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$79.43
Typical High
$123.03
United
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$50.12
Typical High
$104.71
United
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$79.43
Typical High
$89.13

Where Massachusetts 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.

Massachusetts $89.13 · 4th 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.