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Maryland 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
$88.67 / $162.72 / $188.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $25.00 / $32.79
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.20 / $17.20 / $17.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.50 / $8.50 / $8.50