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Idaho rates for HCPCS Q4004

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $107.15 / $144.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $134.90 / $245.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $169.82 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $147.91 / $223.87
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $147.91 / $154.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $131.83
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $109.65 / $169.82
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $154.88 / $154.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $64.57 / $79.43