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Missouri 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
$12.67 / $25.00 / $32.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $8.50 / $8.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.50 / $90.00 / $100.00