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Michigan rates for HCPCS Q4016

Cast Supplies Gauntlet Cast (Includes Lower Forearm And Hand) Pediatric (0-10 Years) Fiberglass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.62 / $12.62 / $12.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.96 / $11.20 / $15.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.06 / $50.00 / $95.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.75 / $17.23 / $21.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $26.09
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.30 / $11.30 / $12.62
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.58 / $11.30 / $19.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.74 / $11.20 / $17.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.86 / $7.93 / $13.79