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Oregon rates for HCPCS Q4004

Cast Supplies Shoulder Cast Adult (11 Years +) Fiberglass

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.06 / $112.22 / $438.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.01 / $62.01 / $62.01
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.39 / $299.27 / $369.60
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.22 / $151.99 / $254.15
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.99 / $144.38 / $159.59
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.79 / $151.99 / $167.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.22 / $144.66 / $254.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.01 / $133.09 / $163.27
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.83 / $167.19 / $167.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.58 / $64.45 / $122.97