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Michigan rates for HCPCS Q4019

Cast Supplies Long Arm Splint Pediatric (0-10 Years) Plaster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.34 / $4.34 / $4.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $4.34 / $6.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.03 / $17.16 / $32.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.41 / $5.92 / $7.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $2.31 / $10.52
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.88 / $3.88 / $4.34
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $3.88 / $6.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.34 / $3.84 / $6.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.17 / $2.68 / $4.21