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Idaho rates for HCPCS A4570

Splint (Not Valid For Medicare)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.28 / $10.28 / $10.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.36 / $9.92 / $16.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.45 / $7.45 / $7.45
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.92 / $12.70 / $18.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $78.00 / $3,900.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $17.48 / $26.09
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.74 / $12.74 / $26.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.15 / $7.58 / $11.23