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New Jersey rates for HCPCS L3225

Orthopedic footwear, man's shoe, Oxford, used as an integral part of a brace (orthosis)

Facilitymedian $29 · 10th–90th $27–$830%20%40%10th90th$29Professionalmedian $41 · 10th–90th $31–$810%10%20%10th90th$41$50.0$100.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $26.92
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $37.15 / $61.66
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $54.95
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $79.43 / $112.20
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $81.28 / $81.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $42.66 / $87.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $43.65 / $79.43