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Orthopedic Footwear, Man's Oxford Shoe for Brace

Utah rates for HCPCS L3225

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

Rates data updated July 2026.

Facilitymedian $38 · 10th–90th $25$910%20%40%10th90th$38Professionalmedian $51 · 10th–90th $25$4370%10%10th90th$51$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$24.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$34.67
Typical High
$436.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$54.95
Molina
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$67.61
Typical High
$85.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$91.20
Typical High
$91.20
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$66.07
Typical High
$85.11
Select Health
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
Select Health
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$89.13
Typical High
$93.33
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$93.33
Typical High
$93.33
United
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$43.65
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$38.02
Typical High
$57.54