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Nationwide rates for HCPCS L3100

Hallus-Valgus Night Dynamic Splint Prefabricated Off-The-Shelf (Revised 01/01/14) (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.27 / $26.79 / $33.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.12 / $27.95 / $39.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.84 / $54.44 / $101.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.25 / $27.25 / $40.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.89 / $34.89 / $34.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.47 / $32.97 / $37.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.22 / $25.37 / $38.11