go back

Louisiana rates for HCPCS L3100

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.29 / $30.04 / $40.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.86 / $29.07 / $32.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.57 / $77.84 / $109.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.07 / $37.18 / $37.18
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
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 / $34.89 / $34.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.48 / $24.85 / $35.53