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Orthopedic Footwear, Additional Charge for Split Size

Rhode Island rates for HCPCS L3257

Orthopedic footwear, additional charge for split size

Rates data updated July 2026.

Facilitymedian $18 · 10th–90th $14$280%20%10th90th$18Professionalmedian $16 · 10th–90th $12$210%20%10th90th$16$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$14.79
Typical High
$18.20
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
United
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$17.78
United
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$19.50
Typical High
$27.54