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Orthopedic Footwear, Additional Charge for Split Size

Illinois rates for HCPCS L3257

Orthopedic footwear, additional charge for split size

Rates data updated July 2026.

Facilitymedian $28 · 10th–90th $12$5250%20%10th90th$28Professionalmedian $16 · 10th–90th $11$650%20%10th90th$16$0.0$0.2$2.0$20.0$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
$12.30
Typical High
$19.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$12.30
Typical High
$19.95
BCBS
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$218.78
Typical High
$831.76
BCBS
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
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
$28.18
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$104.71
Typical High
$120.23
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$30.90
Typical High
$32.36
United
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$14.13
Typical High
$17.78
United
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$14.45
Typical High
$25.70