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Michigan rates for HCPCS A4570

Splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $7.94 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $8.13 / $19.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $10.72 / $12.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.41 / $16.60
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $12.30 / $33.11
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $10.96 / $16.22
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.41 / $13.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $18.62 / $18.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $6.92 / $13.18