O shoe add instep extension cost in New Jersey

O shoe add instep extension · HCPCS L3570

Hospital	City	Cash price	Negotiated range	Payers
Monmouth Medical Center Southern Campus	Lakewood	not published	$100.25 – $199.50	9
Monmouth Medical Center	Long Branch	not published	$100.25 – $199.50	8
Jersey City Medical Center	Jersey City	not published	$70.71 – $199.50	9
Newark Beth Israel Medical Center	Newark	not published	$56.25 – $199.50	8
Clara Maass Medical Center	Belleville	not published	$100.25 – $199.50	9
Community Medical Center	Toms River	not published	$100.25 – $199.50	9
Trinitas Regional Medical Center	Elizabeth	not published	$54.64 – $199.50	8
Robert Wood Johnson University Hospital Rahway	Rahway	not published	$100.25 – $199.50	9
Robert Wood Johnson University Hospital Somerset	Somerville	not published	$57.86 – $199.50	9
Robert Wood Johnson University Hospital Hamilton	Hamilton Township	not published	$100.25 – $199.50	9
Southern Ocean Medical Center	Manahawkin	not published	$79.31 – $155.58	2
Riverview Medical Center	Red Bank	not published	$79.31 – $155.58	2
Robert Wood Johnson University Hospital	New Brunswick	not published	$18.97 – $210.53	9
Palisades Medical Center	North Bergen	not published	$158.87 – $255.42	2
Jersey Shore University Medical Center	Neptune City	not published	$79.31 – $155.58	2
JFK Johnson Rehabilitation Institute (JRI)	Edison	not published	$79.31 – $158.87	5
Raritan Bay Medical Center	Perth Amboy	not published	$79.31 – $158.87	2
Ocean University Medical Center	Brick	not published	$79.31 – $155.58	5
Hackensack University Medical Center	Hackensack	not published	$158.87 – $158.87	1
Bayshore Medical Center	Holmdel	not published	$79.31 – $79.31	1
Cooperman Barnabas Medical Center	Livingston	not published	$100.25 – $200.50	9