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Orthopedic Footwear, Man's Oxford Shoe for Brace

Maine 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?

$57.54

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $57.54 for this service. The price depends on where it is billed: about $57.54 from a physician practice, and about $107 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$57.54$45.71 to $89.13
FacilityA hospital or hospital-owned outpatient department$107$54.95 to $120

How much rates vary

Facilitymedian $107 · 10th to 90th $48 to $129Professionalmedian $58 · 10th to 90th $38 to $89
$50.0$100.0$200.0$500.0facility $107professional $58

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$45.71
Typical High
$61.66
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$120.23
Typical High
$138.04
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$61.66
Cigna
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$74.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$54.95
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$107.15
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$51.29
Typical High
$61.66
United
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$38.02
Typical High
$51.29
United
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$85.11
Typical High
$89.13

Where Maine 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.

Maine $57.54 · 15th 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.