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Maine rates for HCPCS Q4002

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $132.54 / $234.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.00 / $190.38 / $238.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.26 / $94.26 / $94.26
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.38 / $188.38 / $188.38
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $132.54 / $235.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.24 / $115.25 / $265.06