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Illinois rates for HCPCS L3100

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.79 / $26.79 / $26.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.92 / $27.14 / $41.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.01 / $104.91 / $448.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.07 / $39.61 / $39.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.89 / $34.89 / $57.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.47 / $34.89 / $60.38
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.12 / $66.78 / $80.25
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.76 / $67.76 / $67.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.32 / $14.75 / $15.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.35 / $26.00 / $44.64