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Montana rates for HCPCS Q4014

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.93 / $17.53 / $95.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.40 / $32.40 / $32.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.84 / $34.84 / $34.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.54 / $34.84 / $34.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.58 / $34.84 / $78.43
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.15 / $26.15 / $38.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.39 / $14.06 / $16.10