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Washington rates for HCPCS A4570

Splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $8.91 / $23.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $8.91 / $20.42
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $8.32 / $12.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.41 / $7.41
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $23.99 / $31.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $24.55 / $33.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $18.62 / $50.12
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $22.91 / $23.44
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $15.85 / $15.85
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $22.91 / $33.88
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $17.38 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $7.59 / $12.59