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West Virginia rates for HCPCS L3100

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.27 / $26.27 / $26.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.49 / $25.14 / $28.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.03 / $68.63 / $88.97
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.04 / $36.65 / $62.83
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 / $34.89 / $249.82
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.33 / $34.33 / $34.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.46 / $26.21 / $42.46