go back

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 October 2026.

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

$40.74

Typical negotiated rate. In New Jersey, October 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 $54.95 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$40.74$32.36 to $83.18
FacilityA hospital or hospital-owned outpatient department$54.95$51.29 to $54.95

How much rates vary

Facilitymedian $55 · 10th to 90th $32 to $83Professionalmedian $41 · 10th to 90th $28 to $83
$50$100facility $55professional $41

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$28.18
Median
$28.18
Typical High
$32.36
Aetna
Setting
Professional
Modifier
None
Typical Low
$28.18
Median
$28.18
Typical High
$35.48
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$13.80
Median
$13.80
Typical High
$17.78
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$5.62
Median
$5.62
Typical High
$7.08
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$4.17
Median
$4.17
Typical High
$5.37
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$2.82
Median
$2.82
Typical High
$3.55
Cigna
Setting
Facility
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$83.18
Cigna
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$39.81
Typical High
$54.95
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$109.65
Typical High
$109.65
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
United
Setting
Facility
Modifier
None
Typical Low
$51.29
Median
$51.29
Typical High
$104.71
United
Setting
Professional
Modifier
None
Typical Low
$32.36
Median
$43.65
Typical High
$79.43

Where New Jersey sits

The same service costs 3.5 times more in Hawaii than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New Jersey· 43rd of 51

$40.74

HI $141WV $39.81

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.