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Rhode Island rates for HCPCS A4570

Splint (Not Valid For Medicare)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.60 / $6.60 / $6.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.36 / $7.96 / $11.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.20 / $31.64 / $36.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.77 / $16.20 / $26.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.45 / $7.45 / $7.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.30 / $8.44 / $13.25