go back

Utah rates for HCPCS L3100

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

Facilitymedian $27 · 10th–90th $14$520%20%40%10th90th$27Professionalmedian $35 · 10th–90th $17$2190%10%10th90th$35$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$14.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$30.90
Typical High
$218.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$34.67
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$42.66
Typical High
$60.26
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$52.48
Typical High
$52.48
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$38.02
Typical High
$57.54
Select Health
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$52.48
Typical High
$53.70
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$53.70
Typical High
$61.66
United
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$22.91
Typical High
$26.92
United
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$23.44
Typical High
$38.90