Replace afo soft interface cost in New Jersey

Replace AFO soft interface · HCPCS L4392

Hospital City Cash price Negotiated range Payers
Monmouth Medical Center Southern Campus Lakewood not published $27.67 – $55.06 9
Monmouth Medical Center Long Branch not published $27.67 – $55.06 8
Jersey City Medical Center Jersey City not published $17.90 – $55.06 9
Newark Beth Israel Medical Center Newark not published $14.24 – $55.06 8
Clara Maass Medical Center Belleville not published $27.67 – $55.06 9
Community Medical Center Toms River not published $27.67 – $55.06 9
Trinitas Regional Medical Center Elizabeth not published $13.83 – $55.06 8
Robert Wood Johnson University Hospital Rahway Rahway not published $27.67 – $55.06 9
Robert Wood Johnson University Hospital Somerset Somerville not published $14.64 – $55.06 9
Robert Wood Johnson University Hospital Hamilton Hamilton Township not published $27.67 – $55.06 9
Southern Ocean Medical Center Manahawkin not published $21.89 – $42.89 2
Riverview Medical Center Red Bank not published $21.89 – $42.89 2
Robert Wood Johnson University Hospital New Brunswick not published $13.81 – $58.11 9
Palisades Medical Center North Bergen not published $43.80 – $68.01 2
Jersey Shore University Medical Center Neptune City not published $21.89 – $42.89 2
JFK Johnson Rehabilitation Institute (JRI) Edison not published $9.70 – $43.80 5
Raritan Bay Medical Center Perth Amboy not published $21.89 – $43.80 2
Ocean University Medical Center Brick not published $9.70 – $42.89 5
Hackensack University Medical Center Hackensack not published $43.80 – $43.80 1
Bayshore Medical Center Holmdel not published $21.89 – $21.89 1
Cooperman Barnabas Medical Center Livingston not published $27.67 – $55.34 9