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Orthopedic Footwear, Additional Charge for Split Size

Missouri rates for HCPCS L3257

Orthopedic footwear, additional charge for split size

Rates data updated July 2026.

Facilitymedian $14 · 10th–90th $12$360%20%10th90th$14Professionalmedian $16 · 10th–90th $12$550%20%10th90th$16$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
$11.75
Median
$11.75
Typical High
$13.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$12.02
Typical High
$13.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$50.12
Typical High
$54.95
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
Medica
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$18.20
Typical High
$114.82
Medica
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$14.13
Typical High
$154.88
United
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$14.13
Typical High
$18.62
United
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$13.49
Typical High
$22.39