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Orthopedic Footwear, Additional Charge for Split Size

New Jersey rates for HCPCS L3257

Orthopedic footwear, additional charge for split size

Rates data updated July 2026.

Facilitymedian $13 · 10th–90th $13$280%50%90th$13Professionalmedian $13 · 10th–90th $11$330%10%10th90th$13$10.0$20.0$50.0$100.0$200.0

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
$10.23
Median
$13.18
Typical High
$21.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$28.18
Typical High
$28.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$28.18
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$74.13
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$45.71
Typical High
$74.13
United
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$14.13
Typical High
$16.98
United
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$16.60
Typical High
$50.12