go back

Idaho rates for HCPCS Q4004

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.71 / $112.22 / $206.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.01 / $62.01 / $62.01
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.84 / $133.09 / $216.60
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.38 / $144.38 / $151.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $133.59 / $296.38
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.39 / $106.39 / $159.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.45 / $68.95 / $118.96