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Michigan rates for HCPCS Q4021

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.41 / $6.41 / $6.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.33 / $6.58 / $12.43
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.67 / $4.67 / $4.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.91 / $25.39 / $48.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $8.76 / $10.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $3.44 / $15.93
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.73 / $5.73 / $6.41
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.73 / $6.41 / $11.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.94 / $5.68 / $8.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.20 / $3.95 / $6.23