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Maine rates for HCPCS Q4004

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.03 / $87.20 / $127.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.24 / $125.25 / $156.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.01 / $62.01 / $62.01
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.94 / $123.94 / $123.94
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.69 / $87.20 / $127.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.37 / $75.83 / $210.46