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North Carolina rates for HCPCS L3100

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.84 / $45.84 / $79.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $45.84 / $45.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.69 / $77.65 / $95.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.34 / $39.27 / $41.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.89 / $34.89 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.47 / $34.89 / $60.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.99 / $45.84 / $59.59
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $35.61
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.00 / $61.00 / $93.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.22 / $25.88 / $37.86
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.81 / $242.56 / $242.56
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.20 / $381.30 / $381.30