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Orthopedic Footwear, Additional Charge for Split Size

Iowa rates for HCPCS L3257

Orthopedic footwear, additional charge for split size

Rates data updated July 2026.

Facilitymedian $20 · 10th–90th $12$1150%10%20%10th90th$20Professionalmedian $13 · 10th–90th $11$350%20%10th90th$13$0.0$0.1$0.5$2.0$10.0$50.0$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
$12.30
Median
$16.22
Typical High
$20.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$13.18
Typical High
$16.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$28.18
Typical High
$39.81
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$87.10
Typical High
$93.33
Medica
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$35.48
Typical High
$114.82
Medica
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$19.50
Typical High
$60.26
Midlands
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$40.74
Typical High
$51.29
Midlands
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$43.65
Typical High
$43.65
United
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$14.13
Typical High
$18.62
United
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$14.45
Typical High
$26.30
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$186.21
Typical High
$186.21