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Massachusetts rates for HCPCS Q4004

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.03 / $70.03 / $70.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.03 / $84.04 / $126.90
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.54 / $721.95 / $721.95
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.83 / $83.59 / $869.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.01 / $62.01 / $68.64
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.94 / $123.94 / $123.94
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.17 / $95.17 / $95.17
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.54 / $721.95 / $721.95
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.45 / $83.59 / $869.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.45 / $83.59 / $206.87