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Orthopedic Footwear, Additional Charge for Split Size

Utah rates for HCPCS L3257

Orthopedic footwear, additional charge for split size

Rates data updated July 2026.

Facilitymedian $11 · 10th–90th $11$300%50%90th$11Professionalmedian $14 · 10th–90th $9$300%20%10th90th$14$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$11.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$11.48
Typical High
$19.95
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
$28.18
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$44.67
Typical High
$60.26
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$30.20
Typical High
$39.81
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$23.44
Typical High
$23.44
Select Health
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Select Health
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$46.77
Typical High
$47.86
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$26.30
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$14.13
Typical High
$17.78
United
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$14.13
Typical High
$20.89