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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 October 2026.

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

$40.74

Typical negotiated rate. In Tennessee, October 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 $54.95 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$39.81$36.31 to $58.88
FacilityA hospital or hospital-owned outpatient department$54.95$54.95 to $54.95

How much rates vary

Facilitymedian $55 · 10th to 90th $51 to $58Professionalmedian $40 · 10th to 90th $34 to $575
$50$100$200$500facility $55professional $40

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
Aetna
Setting
Professional
Modifier
None
Typical Low
$33.88
Median
$34.67
Typical High
$43.65
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$16.98
Median
$16.98
Typical High
$21.88
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$6.76
Median
$6.92
Typical High
$8.71
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$5.01
Median
$5.13
Typical High
$6.61
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$3.39
Median
$3.47
Typical High
$4.37
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$58.88
Typical High
$58.88
Cigna
Setting
Facility
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$57.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$39.81
Typical High
$54.95
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$575.44
Median
$630.96
Typical High
$630.96
United
Setting
Facility
Modifier
None
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
United
Setting
Professional
Modifier
None
Typical Low
$25.12
Median
$37.15
Typical High
$50.12

Where Tennessee 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.

Tennessee· 45th of 51

$40.74

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.