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Oklahoma rates for HCPCS Q4004

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.50 / $90.50 / $90.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.17 / $90.50 / $98.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.01 / $62.01 / $62.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.17 / $99.55 / $243.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.19 / $88.82 / $835.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.19 / $72.44 / $104.49