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Orthopedic Footwear, Additional Charge for Split Size

Vermont rates for HCPCS L3257

Orthopedic footwear, additional charge for split size

Rates data updated July 2026.

Facilitymedian $18 · 10th–90th $11$280%20%40%10th90th$18Professionalmedian $15 · 10th–90th $14$200%50%10th90th$15$10.0$20.0$50.0$100.0

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
$14.13
Median
$14.13
Typical High
$16.98
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
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$14.13
Typical High
$17.78
United
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$20.89
Typical High
$46.77