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North Dakota 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
$147.91 / $169.82 / $169.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $151.36 / $199.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $257.04 / $281.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $269.15 / $331.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $234.42 / $416.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $95.50 / $436.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $91.20 / $257.04