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Idaho rates for HCPCS Q4021

Cast Supplies Short Arm Splint Adult (11 Years +) Plaster

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.80 / $6.59 / $11.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $3.44 / $3.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.04 / $11.42 / $16.05
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $8.00 / $8.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.29 / $13.05 / $30.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $5.89 / $8.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $3.82 / $6.59