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Wyoming rates for HCPCS Q4004

Cast Supplies Shoulder Cast Adult (11 Years +) Fiberglass

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.71 / $110.46 / $133.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.43 / $148.43 / $148.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.43 / $148.43 / $148.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.01 / $62.01 / $121.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.45 / $64.45 / $68.95