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Kentucky rates for HCPCS Q4004

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.12 / $89.70 / $99.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.12 / $96.48 / $130.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.69 / $99.33 / $103.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.82 / $212.79 / $265.98
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.63 / $212.79 / $303.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.12 / $178.12 / $178.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.01 / $62.01 / $208.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $151.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.55 / $75.83 / $93.25