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North Carolina rates for HCPCS A4570

Splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.24 / $11.24 / $11.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.36 / $9.05 / $11.24
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.12 / $11.12 / $15.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.30 / $7.86 / $8.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.45 / $7.45 / $7.45
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.24 / $13.49 / $22.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.68 / $11.68 / $29.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.90 / $34.94 / $34.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.04 / $7.05 / $11.07
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.48 / $85.00 / $90.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.71 / $93.71 / $99.00