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North Dakota rates for HCPCS Q4004

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.58 / $110.58 / $110.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.26 / $110.58 / $138.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.97 / $168.03 / $185.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.05 / $266.05 / $305.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.25 / $178.01 / $220.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.58 / $151.99 / $273.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.55 / $64.45 / $151.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.47 / $71.55 / $200.63