go back

Orthopedic Footwear, Additional Charge for Split Size

Massachusetts rates for HCPCS L3257

Orthopedic footwear, additional charge for split size

Rates data updated July 2026.

Facilitymedian $23 · 10th–90th $15$1480%20%40%10th90th$23Professionalmedian $26 · 10th–90th $13$520%20%40%10th90th$26$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

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
$14.79
Median
$14.79
Typical High
$14.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$14.79
Typical High
$20.89
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$134.90
Typical High
$147.91
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$26.30
Typical High
$42.66
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
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$79.43
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$134.90
Typical High
$147.91
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$26.30
Typical High
$42.66
United
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$15.49
Typical High
$25.12
United
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$26.30
Typical High
$52.48