go back

Kentucky rates for HCPCS L3100

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.35 / $26.91 / $27.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.12 / $26.91 / $30.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.59 / $52.36 / $55.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.16 / $25.42 / $29.43
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.27 / $72.97 / $83.89
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.74 / $65.15 / $86.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.89 / $34.89 / $61.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.47 / $34.89 / $249.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.85 / $30.53 / $37.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.41 / $25.58 / $34.51