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Michigan rates for HCPCS Q4020

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.93 / $6.93 / $6.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $6.93 / $8.94
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.10 / $9.10 / $9.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.86 / $27.44 / $52.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.65 / $9.46 / $11.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $3.72 / $17.23
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.18 / $6.18 / $6.93
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.18 / $6.79 / $10.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.33 / $6.12 / $9.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $4.30 / $6.43