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Rhode Island rates for HCPCS Q4004

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $93.33 / $131.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $302.00 / $354.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $102.33 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $83.18 / $131.83