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Maine rates for HCPCS Q4016

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.96 / $9.52 / $12.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.69 / $13.67 / $17.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $6.76
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.53 / $13.53 / $13.53
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.96 / $9.51 / $18.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.86 / $8.27 / $19.02