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Montana rates for HCPCS Q4014

Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), fiberglass

Facilitymedian $32 · 10th–90th $26–$600%20%40%10th90th$32Professionalmedian $29 · 10th–90th $16–$1100%5%10%10th90th$29$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $28.84 / $144.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $32.36
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $34.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $34.67 / $34.67
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $32.36 / $63.10
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $32.36 / $63.10
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $34.67 / $60.26
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $34.67 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $14.13 / $18.20