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Maryland 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
$112.14 / $112.14 / $112.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.14 / $156.12 / $234.18
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.44 / $131.44 / $131.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.26 / $94.26 / $94.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.02 / $298.02 / $369.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.15 / $115.25 / $171.56
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.69 / $97.69 / $97.69