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Orthopedic Footwear, Man's Oxford Shoe for Brace

Pennsylvania 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?

$38.02

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $38.02 for this service. The price depends on where it is billed: about $38.02 from a physician practice, and about $72.44 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$38.02$34.67 to $51.29
FacilityA hospital or hospital-owned outpatient department$72.44$31.62 to $123

How much rates vary

Facilitymedian $72 · 10th to 90th $32 to $123Professionalmedian $38 · 10th to 90th $32 to $78
$0.1$1.0$10.0$100.0$1.0K$10.0Kfacility $72professional $38

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
$31.62
Median
$31.62
Typical High
$123.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$37.15
Typical High
$61.66
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
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
$54.95
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$109.65
Typical High
$158.49
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$54.95
Typical High
$77.62
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$123.03
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$38.02
Typical High
$77.62
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$42.66
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$85.11
United
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$104.71
Typical High
$104.71
United
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$38.02
Typical High
$83.18

Where Pennsylvania 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.

Pennsylvania $38.02 · 47th 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.