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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 July 2026.

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

$67.61

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $67.61 for this service. The price depends on where it is billed: about $66.07 from a physician practice, and about $87.10 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 7 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$66.07$61.66 to $102
FacilityA hospital or hospital-owned outpatient department$87.10$63.10 to $105

How much rates vary

Facilitymedian $87 · 10th to 90th $59 to $126Professionalmedian $66 · 10th to 90th $58 to $129
$50.0$100.0$200.0$500.0facility $87professional $66

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. 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
Global
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$61.66
Typical High
$66.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$128.82
Medica
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$89.13
Typical High
$173.78
Medica
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$58.88
Typical High
$562.34
Midlands
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$102.33
Typical High
$104.71
Midlands
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
Midlands
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$165.96
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$91.20
Typical High
$123.03
United
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$44.67
Typical High
$63.10
United
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$61.66
Typical High
$104.71
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$91.20

Where South Dakota 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 Dakota $67.61 · 9th 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.