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Montana 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
$138.61 / $198.24 / $666.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.57 / $242.57 / $242.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.26 / $242.57 / $242.57
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.70 / $242.57 / $360.53
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.06 / $182.06 / $270.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.88 / $97.97 / $115.25