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Minnesota 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
$6.28 / $6.28 / $6.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $6.28 / $8.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.44 / $9.85 / $15.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.88 / $9.55 / $9.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.30 / $30.00 / $42.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.36 / $12.64 / $14.29
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.94 / $27.49 / $39.67
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.25 / $11.25 / $11.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.85 / $9.85 / $17.73
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.48 / $4.67 / $17.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.78 / $4.18 / $9.89