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Colorado rates for HCPCS Q4004

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.36 / $65.36 / $65.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.36 / $98.19 / $127.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.73 / $115.73 / $115.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.65 / $104.49 / $151.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.01 / $62.01 / $62.01
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.36 / $144.19 / $217.98
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.99 / $151.99 / $151.99
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.39 / $227.99 / $300.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.76 / $64.45 / $104.49