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Oregon 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
$120.17 / $170.56 / $386.00
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
$329.17 / $455.28 / $562.27
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.56 / $231.02 / $436.59
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.86 / $219.47 / $242.57
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.92 / $231.02 / $254.12
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.53 / $183.53 / $183.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.56 / $231.02 / $423.57
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.26 / $202.29 / $248.17
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.41 / $254.12 / $254.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.60 / $97.97 / $186.91