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Connecticut rates for HCPCS Q4004

Cast Supplies Shoulder Cast Adult (11 Years +) Fiberglass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.14 / $81.14 / $126.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.03 / $86.71 / $130.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.94 / $126.16 / $165.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.01 / $62.01 / $62.01
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.19 / $209.53 / $329.82
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.17 / $95.17 / $95.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.37 / $75.83 / $115.74