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Orthopedic Footwear, Man's Oxford Shoe for Brace

South Dakota rates for HCPCS L3225

Orthopedic footwear, man's shoe, Oxford, used as an integral part of a brace (orthosis)

Rates data updated October 2026.

How much does Orthopedic Footwear, Man's Oxford Shoe for Brace cost?

$91.20

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $91.20 for this service. The price depends on where it is billed: about $91.20 from a physician practice, and about $105 from a hospital or other facility.

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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$91.20$61.66 to $102
FacilityA hospital or hospital-owned outpatient department$105$67.61 to $107

How much rates vary

Facilitymedian $105 · 10th to 90th $65 to $174Professionalmedian $91 · 10th to 90th $36 to $117
$50$100$200$500facility $105professional $91

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
Aetna
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$63.10
Typical High
$63.10
Cigna
Setting
Facility
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$104.71
Cigna
Setting
Professional
Modifier
None
Typical Low
$102.33
Median
$102.33
Typical High
$128.82
Medica
Setting
Facility
Modifier
None
Typical Low
$64.57
Median
$107.15
Typical High
$173.78
Medica
Setting
Professional
Modifier
None
Typical Low
$36.31
Median
$54.95
Typical High
$562.34
Midlands
Setting
Professional
Modifier
None
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Midlands
Setting
Facility
Modifier
None
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
Midlands
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$87.10
Typical High
$165.96
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$91.20
Typical High
$107.15
United
Setting
Professional
Modifier
None
Typical Low
$31.62
Median
$42.66
Typical High
$67.61
Wellmark
Setting
Professional
Modifier
None
Typical Low
$91.20
Median
$91.20
Typical High
$91.20

Where South Dakota sits

The same service costs 3.5 times more in Hawaii than in West Virginia. 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.

South Dakota· 5th of 51

$91.20

HI $141WV $39.81

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.