go back

Hawaii rates for HCPCS Q4004

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.03 / $108.87 / $127.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.01 / $167.19 / $167.19
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.99 / $159.15 / $159.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.79 / $212.79 / $212.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.83 / $167.19 / $189.57
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.48 / $127.52 / $196.07