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Ohio rates for HCPCS L3100

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $28.00 / $94.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.49 / $28.00 / $32.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.94 / $57.33 / $148.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.42 / $27.25 / $72.44
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.30 / $44.30 / $44.30
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.09 / $52.12 / $70.36
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.03 / $47.12 / $111.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.89 / $34.89 / $61.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.47 / $25.47 / $34.89
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.89 / $34.89 / $34.89
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.47 / $34.89 / $34.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.50 / $28.19 / $36.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.34 / $24.91 / $34.97