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Orthopedic Footwear, Additional Charge for Split Size

Montana rates for HCPCS L3257

Orthopedic footwear, additional charge for split size

Rates data updated July 2026.

Facilitymedian $37 · 10th–90th $17$380%50%10th90th$37Professionalmedian $14 · 10th–90th $10$380%10%20%10th90th$14$10.0$20.0$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
Professional
Modifier
Global
Typical Low
$10.00
Median
$10.96
Typical High
$16.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$34.67
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$33.88
Typical High
$33.88
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$38.02
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$38.02
Providence
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$25.70
Typical High
$40.74
Providence
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$34.67
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$16.98
Typical High
$17.78
United
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$14.13
Typical High
$20.89