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Alaska rates for HCPCS L3100

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

Facilitymedian $27 · 10th–90th $15–$510%20%40%10th90th$27Professionalmedian $30 · 10th–90th $25–$630%10%20%10th90th$30$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $30.20 / $44.67
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $34.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $56.23
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $34.67 / $51.29
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $48.98 / $165.96
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $50.12 / $51.29
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $50.12 / $51.29
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $51.29
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $38.02 / $60.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $26.92
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $35.48 / $125.89