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Orthopedic Footwear, Man's Oxford Shoe for Brace

West Virginia 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?

$39.81

Typical negotiated rate. In West Virginia, October 2026.

Insurers have agreed to pay about $39.81 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$39.81$39.81 to $54.95
FacilityA hospital or hospital-owned outpatient department$54.95$54.95 to $87.10

How much rates vary

Facilitymedian $55 · 10th to 90th $51 to $123Professionalmedian $40 · 10th to 90th $38 to $85
$50$100$200facility $55professional $40

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
Professional
Modifier
None
Typical Low
$38.02
Median
$39.81
Typical High
$39.81
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$19.05
Median
$19.95
Typical High
$19.95
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$7.59
Median
$7.94
Typical High
$7.94
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$5.75
Median
$6.03
Typical High
$6.03
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$3.80
Median
$3.98
Typical High
$3.98
CareSource
Setting
Facility
Modifier
None
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
CareSource
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$53.70
Typical High
$91.20
Cigna
Setting
Facility
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$123.03
Cigna
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$39.81
Typical High
$436.52
United
Setting
Facility
Modifier
None
Typical Low
$51.29
Median
$51.29
Typical High
$87.10
United
Setting
Professional
Modifier
None
Typical Low
$36.31
Median
$43.65
Typical High
$85.11

Where West Virginia 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.

West Virginia· 51st of 51

$39.81

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.