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Montana rates for HCPCS Q4015

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.83 / $5.91 / $28.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.34 / $10.34 / $10.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $10.34 / $10.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.38 / $10.34 / $18.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.77 / $7.77 / $11.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $4.18 / $4.78