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Michigan rates for HCPCS Q4004

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.74 / $115.74 / $115.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.89 / $115.74 / $127.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.54 / $458.34 / $871.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.38 / $158.07 / $205.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.01 / $62.01 / $223.84
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.57 / $103.57 / $115.74
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.57 / $103.57 / $182.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.25 / $98.17 / $160.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.87 / $71.38 / $112.62