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Massachusetts rates for HCPCS L3100

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.21 / $22.21 / $22.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.21 / $24.71 / $40.98
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.28 / $105.80 / $242.56
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.08 / $34.24 / $49.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.71 / $41.98 / $63.80
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 / $60.38
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.17 / $41.17 / $43.23
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.26 / $24.26 / $24.26
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.80 / $242.56 / $242.56
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.35 / $25.37 / $49.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.68 / $27.18 / $50.84