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Kansas rates for HCPCS Q4004

Cast Supplies Shoulder Cast Adult (11 Years +) Fiberglass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.82 / $167.82 / $167.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.02 / $105.75 / $167.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.36 / $166.36 / $166.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.01 / $62.01 / $62.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.02 / $126.17 / $239.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.55 / $75.83 / $835.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.55 / $75.83 / $104.49