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Massachusetts rates for HCPCS Q4002

Cast supplies, body cast adult, with or without head, fiberglass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $107.15 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $158.49 / $239.88
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $1,096.48
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $114.82 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $204.17 / $204.17
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $1,096.48
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $114.82 / $1,584.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $125.89 / $158.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $125.89 / $204.17