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Orthopedic Footwear, Additional Charge for Split Size

South Carolina rates for HCPCS L3257

Orthopedic footwear, additional charge for split size

Rates data updated July 2026.

Facilitymedian $13 · 10th–90th $10$350%20%10th90th$13Professionalmedian $15 · 10th–90th $10$280%20%10th90th$15$10.0$20.0$50.0$100.0$200.0$500.0

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
$10.47
Median
$10.47
Typical High
$10.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$14.45
Typical High
$20.89
BCBS
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$32.36
BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$199.53
Typical High
$269.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$41.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$30.20
Medcost
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$15.14
Typical High
$39.81
Medcost
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$10.72
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$16.60
Typical High
$19.95
United
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$14.13
Typical High
$21.38