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Montana rates for HCPCS A4570

Splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $31.62 / $31.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $7.94 / $15.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $79,432.82 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $18.20 / $18.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $18.20 / $18.20
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $20.42 / $20.89
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $20.42 / $20.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $15.49 / $22.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $24.55 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $7.59 / $7.59