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Minnesota 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
$147.33 / $147.33 / $147.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.74 / $147.33 / $202.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.90 / $231.02 / $363.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.82 / $219.47 / $231.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.34 / $712.81 / $1,001.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.43 / $300.39 / $340.04
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.58 / $653.24 / $942.55
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.75 / $267.75 / $275.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.87 / $231.02 / $415.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.64 / $109.56 / $420.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.76 / $97.97 / $231.99