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Arizona rates for HCPCS Q4051

Splint supplies, miscellaneous (includes thermoplastics, strapping, fasteners, padding and other supplies)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.68 / $12.68 / $12.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $12.68 / $32.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.00 / $32.00 / $75.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.50 / $8.50 / $8.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.68 / $13.95 / $27.52