go back

Iowa rates for HCPCS Q4004

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $125.89 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $107.15 / $165.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $177.83 / $218.78
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $169.82 / $269.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $165.96 / $309.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $89.13 / $309.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $173.78 / $199.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $257.04 / $331.13
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $218.78 / $331.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $75.86 / $125.89
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $138.04 / $138.04