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Montana rates for HCPCS Q4017

Cast supplies, long arm splint, adult (11 years +), plaster

Facilitymedian $11 · 10th–90th $9–$220%20%40%10th90th$11Professionalmedian $8 · 10th–90th $5–$260%10%10th90th$8$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $7.08 / $25.70
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $11.22
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $12.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $12.02 / $12.02
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $11.22 / $21.88
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $11.22 / $21.88
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $12.02 / $23.44
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $12.02 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $4.79 / $5.89