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Orthopedic Footwear, Additional Charge for Split Size

North Dakota rates for HCPCS L3257

Orthopedic footwear, additional charge for split size

Rates data updated July 2026.

Facilitymedian $20 · 10th–90th $16$280%20%40%10th90th$20Professionalmedian $20 · 10th–90th $12$250%20%40%10th90th$20$10.0$20.0$50.0$100.0

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
$16.22
Median
$20.42
Typical High
$22.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$20.42
Typical High
$21.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$30.90
Medica
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$26.30
Typical High
$61.66
Medica
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$14.13
Typical High
$24.55
United
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$14.13
United
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$19.50
Typical High
$27.54