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Montana rates for HCPCS Q4015

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

Facilitymedian $10 · 10th–90th $8–$160%20%10th90th$10Professionalmedian $6 · 10th–90th $4–$120%10%10th90th$6$5.0$10.0$20.0$50.0

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
$3.98 / $6.03 / $8.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $10.23 / $10.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $10.23 / $10.23
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $9.55 / $18.62
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $9.55 / $18.62
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $10.00 / $16.22
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $10.23 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $4.17 / $5.13