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Oregon rates for HCPCS A4570

Splint (Not Valid For Medicare)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.28 / $10.28 / $10.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.36 / $6.75 / $31.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.45 / $7.45 / $7.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.43 / $27.60 / $32.79
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.42 / $21.70 / $30.71
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.58 / $17,150.38 / $18,772.80
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.25 / $23.12 / $23.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.42 / $23.77 / $31.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.45 / $27.83 / $2,400,000.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.47 / $35.01 / $45.74
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.41 / $24.64 / $35.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.86 / $7.58 / $12.54