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Orthopedic Footwear, Man's Oxford Shoe for Brace

South 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?

$40.74

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $40.74 for this service. The price depends on where it is billed: about $39.81 from a physician practice, and about $47.86 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 5 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$39.81$38.02 to $58.88
FacilityA hospital or hospital-owned outpatient department$47.86$38.02 to $70.79

How much rates vary

Facilitymedian $48 · 10th to 90th $38 to $105Professionalmedian $40 · 10th to 90th $35 to $66
$10.0$20.0$50.0$100.0$200.0facility $48professional $40

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
$38.02
Median
$38.02
Typical High
$38.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$39.81
Typical High
$66.07
BCBS
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$69.18
Typical High
$77.62
BCBS
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$67.61
Typical High
$95.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$54.95
Typical High
$60.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$102.33
Medcost
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$46.77
Medcost
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$63.10
Typical High
$125.89
Medcost
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$24.55
United
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$47.86
Typical High
$104.71
United
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$38.02
Typical High
$53.70

Where South 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.

South Carolina $40.74 · 40th 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.