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Minnesota rates for HCPCS Q4012

Cast supplies, short arm cast, pediatric (0-10 years), fiberglass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $11.75 / $28.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $12.30 / $15.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $12.30 / $12.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $38.90 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $15.85 / $18.20
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $40.74 / $51.29
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.13 / $19.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $12.30 / $26.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $5.75 / $22.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $5.13 / $13.80