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Michigan rates for HCPCS Q4051

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $20.00 / $40.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.18 / $60.64 / $115.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.10 / $20.91 / $26.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.50 / $8.50 / $8.50
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.00 / $20.00 / $40.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $75.00