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Orthopedic Footwear, Additional Charge for Split Size

Oregon rates for HCPCS L3257

Orthopedic footwear, additional charge for split size

Rates data updated July 2026.

Facilitymedian $43 · 10th–90th $35$540%20%40%10th90th$43Professionalmedian $20 · 10th–90th $11$450%20%10th90th$20$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
$19.95
Median
$19.95
Typical High
$19.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$17.38
Typical High
$21.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$20.42
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$50.12
Typical High
$60.26
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$22.39
Typical High
$46.77
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$43.65
Typical High
$53.70
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
Providence
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$22.39
Typical High
$46.77
Providence
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$79.43
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$70.79
Typical High
$91.20
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$60.26
United
Setting
Facility
Modifier
Global
Typical Low
$0.02
Median
$13.18
Typical High
$25.12
United
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$14.13
Typical High
$23.44