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Orthopedic Footwear, Man's Oxford Shoe for Brace

New Jersey rates for HCPCS L3225

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

Rates data updated July 2026.

How much does Orthopedic Footwear, Man's Oxford Shoe for Brace cost?

$40.74

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $40.74 for this service. The price depends on where it is billed: about $40.74 from a physician practice, and about $28.18 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$40.74$34.67 to $58.88
FacilityA hospital or hospital-owned outpatient department$28.18$28.18 to $54.95

How much rates vary

Facilitymedian $28 · 10th to 90th $28 to $83Professionalmedian $41 · 10th to 90th $32 to $81
$50.0$100.0$200.0facility $28professional $41

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$36.31
Typical High
$58.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$54.95
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$54.95
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$79.43
Typical High
$109.65
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
United
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$83.18
Typical High
$83.18
United
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$44.67
Typical High
$81.28

Where New Jersey sits

The same service costs 4.5 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New Jersey $40.74 · 39th of 51
HI $141DC $31.62

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.