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Orthopedic Footwear, Additional Charge for Split Size

Tennessee rates for HCPCS L3257

Orthopedic footwear, additional charge for split size

Rates data updated July 2026.

Facilitymedian $28 · 10th–90th $12$1410%20%10th90th$28Professionalmedian $12 · 10th–90th $11$200%50%10th90th$12$0.0$0.1$0.5$2.0$10.0$50.0$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
$10.96
Median
$12.02
Typical High
$19.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$12.02
Typical High
$16.98
BCBS
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$33.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$24.55
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$181.97
Typical High
$181.97
United
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$15.14
Typical High
$22.39
United
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$12.59
Typical High
$20.89