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Vermont rates for HCPCS L3100

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $26.92 / $32.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $34.67 / $34.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $25.70 / $34.67
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $50.12 / $61.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $22.91 / $28.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $35.48 / $107.15