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Louisiana rates for HCPCS Q4004

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.20 / $107.42 / $107.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.20 / $107.42 / $122.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.41 / $151.99 / $151.99
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.01 / $62.01 / $62.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.97 / $72.16 / $104.49