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Hawaii rates for HCPCS L3100

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $26.92 / $36.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $34.67 / $40.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $45.71 / $64.57
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $51.29 / $53.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $51.29 / $60.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $23.44 / $28.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $38.90 / $56.23