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Florida 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
$21.69 / $24.04 / $27.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.81 / $25.67 / $45.84
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 / $25.47 / $34.89
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.68 / $32.18 / $32.18
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.80 / $32.18 / $52.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.91 / $26.02 / $28.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.96 / $25.58 / $33.31
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.02 / $26.02 / $27.88