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Maryland rates for HCPCS L3100

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.81 / $23.15 / $39.75
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.71 / $26.71 / $34.76
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 / $25.47 / $34.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.59 / $50.84 / $73.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.68 / $25.37 / $40.43
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.88 / $27.88 / $35.59