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Minnesota 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
$10.00 / $10.00 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $10.96 / $23.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $16.60 / $21.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $16.60 / $16.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $53.70 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $20.89 / $24.55
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $54.95 / $69.18
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $26.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $16.60 / $33.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $7.08 / $18.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $7.08 / $18.62