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Orthopedic Footwear, Man's Oxford Shoe for Brace

Tennessee 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 Tennessee, July 2026.

Insurers have agreed to pay about $38.02 for this service. The price depends on where it is billed: about $37.15 from a physician practice, and about $60.26 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$37.15$34.67 to $51.29
FacilityA hospital or hospital-owned outpatient department$60.26$38.02 to $490

How much rates vary

Facilitymedian $60 · 10th to 90th $37 to $490Professionalmedian $37 · 10th to 90th $34 to $65
$0.1$1.0$10.0$100.0facility $60professional $37

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
$34.67
Median
$37.15
Typical High
$60.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$37.15
Typical High
$64.57
BCBS
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$60.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$63.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$54.95
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$616.60
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$44.67
Typical High
$77.62
United
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$37.15
Typical High
$54.95

Where Tennessee 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.

Tennessee $38.02 · 45th 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.