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Missouri rates for HCPCS Q4004

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $151.36 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $100.00 / $151.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $79.43 / $144.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $154.88 / $416.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $75.86 / $831.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $97.72 / $154.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $72.44 / $109.65