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Arizona rates for HCPCS Q4004

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.19 / $91.19 / $91.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.36 / $96.48 / $138.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.79 / $121.59 / $287.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.01 / $62.01 / $62.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.19 / $151.99 / $271.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.33 / $68.95 / $835.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.33 / $64.45 / $109.71