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Maine rates for HCPCS A4570

Splint

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.36 / $8.10 / $10.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.77 / $16.20 / $17.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.45 / $7.45 / $7.45
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.01 / $13.01 / $13.01
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.36 / $8.73 / $17.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.72 / $6.90 / $16.68