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Orthopedic Footwear, Additional Charge for Split Size

Texas rates for HCPCS L3257

Orthopedic footwear, additional charge for split size

Rates data updated July 2026.

Facilitymedian $22 · 10th–90th $11$910%10%10th90th$22Professionalmedian $13 · 10th–90th $10$220%20%10th90th$13$0.0$0.2$2.0$20.0$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
$11.75
Median
$12.59
Typical High
$14.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$12.02
Typical High
$16.22
BCBS
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$18.20
Typical High
$18.20
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$29.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$28.18
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
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$23.99
Typical High
$38.02
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$20.42
Molina
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$22.39
Typical High
$30.20
Providence
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$23.99
Typical High
$38.02
Providence
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$28.18
United
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$14.13
Typical High
$19.95
United
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$14.13
Typical High
$26.30
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$54.95