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Maine rates for HCPCS A4570

Splint

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $7.94 / $10.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $13.80 / $14.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.41 / $7.41
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $13.18
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $8.13 / $12.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $8.13 / $13.49