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Michigan rates for HCPCS Q4015

Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), plaster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.50 / $7.50 / $7.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.88 / $7.50 / $8.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.29 / $29.70 / $56.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.36 / $10.24 / $13.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.01 / $14.29
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.70 / $6.70 / $7.50
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.70 / $6.70 / $11.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.77 / $6.63 / $10.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.48 / $4.63 / $6.76