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Montana rates for HCPCS Q4017

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.59 / $19.20 / $32.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.10 / $11.10 / $11.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.94 / $11.94 / $11.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.63 / $11.94 / $11.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.82 / $11.94 / $32.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.96 / $8.96 / $13.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.59 / $4.82 / $5.52