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Orthopedic Footwear, Additional Charge for Split Size

Washington, DC rates for HCPCS L3257

Orthopedic footwear, additional charge for split size

Rates data updated July 2026.

Facilitymedian $11 · 10th–90th $11$110%50%$11Professionalmedian $11 · 10th–90th $10$180%20%40%10th90th$11$10.0$20.0$50.0

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$11.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$11.48
Typical High
$15.85
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
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$21.88
Typical High
$51.29
United
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$17.38
Typical High
$25.70