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Montana rates for HCPCS Q4001

Casting supplies, body cast adult, with or without head, plaster

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.68 / $72.02 / $176.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.20 / $64.20 / $64.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.95 / $64.20 / $64.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.20 / $64.20 / $169.51
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.19 / $48.19 / $71.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.67 / $25.93 / $43.21