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Montana rates for HCPCS Q4003

Cast supplies, shoulder cast, adult (11 years +), plaster

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.34 / $38.97 / $126.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.10 / $46.10 / $46.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.91 / $46.10 / $46.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.78 / $46.10 / $91.71
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.60 / $34.60 / $51.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.72 / $18.62 / $21.31