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Maine rates for HCPCS Q4017

Cast Supplies Long Arm Splint Adult (11 Years +) Plaster

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.52 / $6.52 / $8.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.01 / $9.36 / $11.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.63 / $4.63 / $4.63
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.27 / $9.27 / $9.27
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.52 / $6.58 / $9.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.78 / $5.67 / $13.05