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Michigan rates for HCPCS A4570

Splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.64 / $8.64 / $8.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.36 / $7.12 / $9.46
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.49 / $11.16 / $13.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.45 / $7.45 / $22.00
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.64 / $11.46 / $11.46
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $11.46 / $14.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.71 / $7.13 / $13.45