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Massachusetts rates for HCPCS A4570

Splint (Not Valid For Medicare)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.00 / $8.00 / $8.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.36 / $8.00 / $19.64
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.33 / $17.01 / $90.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.99 / $16.20 / $93.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.48 / $29.33 / $37.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.97 / $22.44 / $31.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.45 / $7.45 / $8.59
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.01 / $13.01 / $13.01
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.75 / $17.88 / $143.16
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.48 / $90.00 / $90.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.98 / $13.63 / $93.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.98 / $13.01 / $23.96