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North Dakota rates for HCPCS A4570

Splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.05 / $11.05 / $11.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.36 / $5.89 / $11.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.80 / $13.05 / $14.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.56 / $20.56 / $23.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.13 / $13.26 / $16.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.05 / $15.47 / $20.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.28 / $7.17 / $12.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.66 / $6.39 / $12.56