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Minnesota rates for HCPCS Q4004

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.93 / $96.93 / $96.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.04 / $96.93 / $127.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.19 / $151.99 / $239.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.59 / $144.38 / $151.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.45 / $468.65 / $658.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.01 / $197.51 / $223.84
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.69 / $429.49 / $619.70
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.25 / $176.25 / $181.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.83 / $151.99 / $229.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.71 / $72.08 / $276.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.71 / $75.83 / $266.97