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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 July 2026.

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

$38.02

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $38.02 for this service. The price depends on where it is billed: about $38.02 from a physician practice, and about $39.81 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 4 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$38.02$37.15 to $39.81
FacilityA hospital or hospital-owned outpatient department$39.81$39.81 to $48.98

How much rates vary

Facilitymedian $40 · 10th to 90th $40 to $102Professionalmedian $38 · 10th to 90th $32 to $51
$50.0$100.0$200.0facility $40professional $38

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
$39.81
Median
$39.81
Typical High
$39.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$38.02
Typical High
$39.81
CareSource
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$102.33
CareSource
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$91.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$123.03
Typical High
$123.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$436.52
United
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$38.02
Typical High
$87.10
United
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$43.65
Typical High
$64.57

Where West Virginia 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.

West Virginia $38.02 · 46th 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.