Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Orth foot non-standard size/
Edina, MN
See all hospitals reporting HCPCS L3255 →Price type
Fairview Health Services’s median price of $26 is 23% below the median hospital's median price ($34), higher than 40% of the 224 hospitals reporting HCPCS L3255. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 1 payer, 5 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Bcbs Mn aware federal fee schedule · both | $16 | $16 | — | — | — | $16 – $16 |
| 2 | Bcbs Mn aware/blue plus fee schedule · both | $16 | $16 | — | — | — | $16 – $16 |
| 3 | Bcbs Mn pmap fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 4 | Bcbs Mn aware federal fee schedule · outpatient | $61 | $61 | — | — | — | $61 – $61 |
| 5 | Bcbs Mn aware/blue plus fee schedule · outpatient | $62 | $62 | — | — | — | $62 – $62 |
Last updated: Feb 6, 2026
See Orthotic foot device, non-standard size pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.