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Montana 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 / $7.96 / $23.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.19 / $16.19 / $16.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.41 / $17.41 / $17.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $17.41 / $17.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.78 / $17.41 / $39.22
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.07 / $13.07 / $19.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.69 / $7.03 / $8.05