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Orthopedic Footwear, Additional Charge for Split Size

Indiana rates for HCPCS L3257

Orthopedic footwear, additional charge for split size

Rates data updated July 2026.

Facilitymedian $28 · 10th–90th $10$1070%20%10th90th$28Professionalmedian $13 · 10th–90th $10$600%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
$10.47
Median
$10.47
Typical High
$10.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$10.96
Typical High
$14.79
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$107.15
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$54.95
Typical High
$83.18
CareSource
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$169.82
Typical High
$234.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$41.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$31.62
United
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$14.13
Typical High
$23.44
United
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$14.13
Typical High
$23.99