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Heel, Counter, Plastic Reinforced

New Jersey rates for HCPCS L3430

Heel, counter, plastic reinforced

Rates data updated October 2026.

How much does Heel, Counter, Plastic Reinforced cost?

$93.33

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $93.33 for this service. The price depends on where it is billed: about $91.20 from a physician practice, and about $107 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$91.20$74.13 to $126
FacilityA hospital or hospital-owned outpatient department$107$107 to $107

How much rates vary

Facilitymedian $107 · 10th to 90th $65 to $191Professionalmedian $91 · 10th to 90th $65 to $126
$50$100$200facility $107professional $91

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
$64.57
Median
$64.57
Typical High
$74.13
Aetna
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$64.57
Typical High
$81.28
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$32.36
Median
$32.36
Typical High
$40.74
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$12.88
Median
$12.88
Typical High
$16.22
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$9.55
Median
$9.55
Typical High
$12.30
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$6.46
Median
$6.46
Typical High
$8.13
Cigna
Setting
Facility
Modifier
None
Typical Low
$107.15
Median
$107.15
Typical High
$190.55
Cigna
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$79.43
Typical High
$107.15
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$251.19
Typical High
$251.19
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
United
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$199.53
Typical High
$234.42
United
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$100.00
Typical High
$181.97

Where New Jersey sits

The same service costs 2.6 times more in Montana than in Delaware. 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· 46th of 51

$93.33

MT $204DE $79.43

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.