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New York rates for HCPCS L3100

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.30 / $22.13 / $40.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.30 / $23.55 / $32.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.84 / $51.86 / $101.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.25 / $27.25 / $78.37
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.39 / $42.36 / $42.36
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.36 / $42.36 / $42.36
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
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.84 / $114.39 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $38.13 / $91.51
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.54 / $38.54 / $38.54
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.40 / $31.24 / $42.36
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.89 / $34.89 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.47 / $31.43 / $75.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.91 / $25.37 / $45.76
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.40 / $29.40 / $39.07
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.40 / $29.40 / $38.54