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Washington rates for HCPCS L3100

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.31 / $77.88 / $81.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.94 / $34.31 / $59.36
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.52 / $105.80 / $242.56
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.20 / $44.23 / $262.20
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
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.71 / $50.84 / $133.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.13 / $50.84 / $98.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.08 / $38.97 / $42.87
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.36 / $49.65 / $52.65
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.30 / $50.84 / $52.65
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.52 / $57.10 / $99.30
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.20 / $42.20 / $49.65
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.39 / $49.65 / $49.65
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.39 / $43.21 / $55.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.47 / $23.26 / $44.29
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.02 / $26.02 / $43.21