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Montana rates for HCPCS A4570

Splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.36 / $31.36 / $31.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.36 / $5.36 / $29.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $79,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.39 / $18.39 / $18.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.45 / $18.39 / $18.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.90 / $20.87 / $20.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.32 / $16.98 / $25.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.86 / $7.58 / $7.58