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Arkansas rates for HCPCS Q4004

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $123.03 / $123.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $107.15 / $131.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218,776.16 / $524,807.46 / $954,992.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $109.65 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $97.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $66.07 / $104.71