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Rhode Island rates for HCPCS Q4004

Cast Supplies Shoulder Cast Adult (11 Years +) Fiberglass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.21 / $83.21 / $83.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.03 / $81.14 / $115.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.89 / $304.36 / $343.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.50 / $99.50 / $142.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.01 / $62.01 / $62.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.87 / $75.83 / $126.38