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Utah rates for HCPCS A4570

Splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $41.69 / $41.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $8.91 / $32.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.41 / $7.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $30.20 / $44.67
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $15.14 / $22.39
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $12.88
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $29.51 / $30.20
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $11.22 / $16.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $7.59 / $11.75