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New Jersey rates for HCPCS Q4004

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.75 / $105.75 / $105.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.53 / $105.83 / $130.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.01 / $62.01 / $62.01
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.59 / $199.11 / $265.98
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.58 / $98.58 / $98.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.83 / $75.83 / $94.04