go back

Orthopedic Footwear, Man's Oxford Shoe for Brace

North Carolina 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?

$61.66

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $61.66 for this service. The price depends on where it is billed: about $58.88 from a physician practice, and about $66.07 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$58.88$44.67 to $66.07
FacilityA hospital or hospital-owned outpatient department$66.07$51.29 to $85.11

How much rates vary

Facilitymedian $66 · 10th to 90th $35 to $158Professionalmedian $59 · 10th to 90th $35 to $66
$0.1$1.0$10.0$100.0$1.0Kfacility $66professional $59

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
$66.07
Median
$66.07
Typical High
$66.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$66.07
Typical High
$66.07
BCBS
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$112.20
Typical High
$151.36
BCBS
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$61.66
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$54.95
Typical High
$57.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$57.54
Medcost
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$38.90
Typical High
$51.29
Medcost
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$66.07
Typical High
$112.20
United
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$57.54
Typical High
$77.62
United
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$38.02
Typical High
$57.54
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$426.58
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$616.60

Where North Carolina 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.

North Carolina $61.66 · 12th 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.