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Illinois rates for HCPCS A4570

Splint (Not Valid For Medicare)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.23 / $7.23 / $460.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.36 / $7.23 / $12.01
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.52 / $384.00 / $768.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.00 / $48.00 / $48.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.45 / $7.45 / $13.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $2,500.00 / $2,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.32 / $7.87 / $13.08