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Minnesota rates for HCPCS A4570

Splint (Not Valid For Medicare)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.10 / $8.10 / $8.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.36 / $8.00 / $12.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.96 / $15.58 / $82.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.46 / $15.11 / $15.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.90 / $36.21 / $83.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.26 / $15.26 / $16.67
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.45 / $33.18 / $79.19
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.13 / $13.13 / $14.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.56 / $21.46 / $24.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.11 / $7.58 / $32.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $7.58 / $23.68