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Alaska rates for HCPCS L3100

Hallux-valgus night dynamic splint, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.98 / $43.55 / $45.72
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 / $34.89 / $37.19
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.99 / $14.99 / $14.99
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.30 / $48.30 / $76.26
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.65 / $49.65 / $49.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.99 / $14.99 / $34.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.47 / $37.19 / $50.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.58 / $48.62 / $63.42