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Florida rates for HCPCS A4570

Splint (Not Valid For Medicare)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.12 / $8.40 / $12.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.36 / $8.64 / $12.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $7.91 / $10.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.19 / $10.19 / $10.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.45 / $7.45 / $7.45
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.62 / $11.76 / $17.39
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.94 / $11.61 / $24.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $12.59 / $50.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.48 / $7.49 / $9.16
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.45 / $11.45 / $11.45