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Orthopedic Footwear, Man's Oxford Shoe for Brace

New York 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?

$45.71

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $45.71 for this service. The price depends on where it is billed: about $45.71 from a physician practice, and about $61.66 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$45.71$40.74 to $67.61
FacilityA hospital or hospital-owned outpatient department$61.66$43.65 to $85.11

How much rates vary

Facilitymedian $62 · 10th to 90th $35 to $126Professionalmedian $46 · 10th to 90th $32 to $123
$100$1K$10Kfacility $62professional $46

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
$28.18
Median
$37.15
Typical High
$93.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$38.02
Typical High
$57.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$165.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$141.25
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$67.61
Typical High
$67.61
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$123.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$60.26
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$138.04
Typical High
$323.59
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$87.10
Typical High
$158.49
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$64.57
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$52.48
Typical High
$61.66
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$79.43
Typical High
$97.72
United
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$44.67
Typical High
$134.90
United
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$54.95
Typical High
$138.04
Univera
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$51.29
Typical High
$64.57
Univera
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$52.48
Typical High
$61.66

Where New York sits

The same service costs 4.5 times more in Hawaii than in Washington, DC. 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.

New York· 32nd of 51

$45.71

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.