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Maine rates for HCPCS Q4021

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.83 / $6.58 / $7.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.93 / $6.94 / $8.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $3.44 / $3.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.87 / $6.87 / $6.87
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.83 / $6.58 / $9.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.29 / $4.20 / $11.66