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Orthopedic Footwear, Additional Charge for Split Size

Idaho rates for HCPCS L3257

Orthopedic footwear, additional charge for split size

Rates data updated July 2026.

Facilitymedian $28 · 10th–90th $15$500%20%10th90th$28Professionalmedian $20 · 10th–90th $11$220%50%10th90th$20$0.0$0.1$0.5$2.0$10.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$19.95
Typical High
$21.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$45.71
Typical High
$56.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$45.71
Typical High
$47.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$29.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$28.18
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$21.88
Typical High
$35.48
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$77.62
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$34.67
Typical High
$48.98
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$23.44
Typical High
$23.44
Select Health
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
United
Setting
Facility
Modifier
Global
Typical Low
$0.02
Median
$16.60
Typical High
$17.78
United
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$14.13
Typical High
$20.89