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Orthopedic Footwear, Additional Charge for Split Size

Alaska rates for HCPCS L3257

Orthopedic footwear, additional charge for split size

Rates data updated July 2026.

Facilitymedian $11 · 10th–90th $11$330%50%90th$11Professionalmedian $21 · 10th–90th $12$870%20%10th90th$21$10.0$20.0$50.0$100.0

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
Professional
Modifier
Global
Typical Low
$10.47
Median
$14.79
Typical High
$21.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$30.20
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$31.62
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$30.90
Typical High
$60.26
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$87.10
Typical High
$87.10
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$87.10
Typical High
$120.23
Providence
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$31.62
Providence
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$28.18
Typical High
$60.26
United
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$16.98
Typical High
$17.78
United
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$26.30
Typical High
$75.86