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Iowa rates for HCPCS Q4004

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.72 / $127.31 / $127.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.63 / $176.25 / $220.31
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.99 / $160.96 / $275.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.86 / $173.17 / $216.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.14 / $93.25 / $377.38
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.37 / $167.19 / $218.76
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.00 / $173.74 / $225.45
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.38 / $188.10 / $276.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.14 / $75.83 / $303.30
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.79 / $136.79 / $136.79
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.06 / $136.79 / $136.79