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Montana rates for HCPCS Q4019

Cast supplies, long arm splint, pediatric (0-10 years), plaster

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $4.88 / $16.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.56 / $5.56 / $5.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.97 / $5.97 / $5.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $5.97 / $5.97
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.42 / $5.97 / $15.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.49 / $4.49 / $6.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.42 / $2.84