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Orthopedic Footwear, Additional Charge for Split Size

Nebraska rates for HCPCS L3257

Orthopedic footwear, additional charge for split size

Rates data updated July 2026.

Facilitymedian $21 · 10th–90th $12$1150%10%10th90th$21Professionalmedian $13 · 10th–90th $12$190%20%40%10th90th$13$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
$13.49
Median
$13.49
Typical High
$13.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$13.18
Typical High
$18.62
BCBS
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$19.50
Typical High
$19.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$28.18
Typical High
$47.86
Medica
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$25.12
Typical High
$114.82
Medica
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$14.13
Typical High
$26.92
Midlands
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$35.48
Typical High
$54.95
Midlands
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$47.86
Typical High
$54.95
United
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$15.49
Typical High
$21.38
United
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$14.13
Typical High
$21.88