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Florida 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
$6.00 / $6.00 / $6.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $9.00 / $12.68
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.50 / $7.50 / $7.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.50 / $8.50 / $8.50
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.58 / $172.75 / $239.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $50.00