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Minnesota rates for HCPCS Q4021

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.37 / $5.37 / $5.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.80 / $6.58 / $11.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.21 / $8.42 / $13.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.74 / $8.00 / $8.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.93 / $25.86 / $36.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.85 / $10.90 / $12.38
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.61 / $23.70 / $34.20
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.75 / $9.75 / $10.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.42 / $8.42 / $21.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $3.99 / $15.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $4.20 / $14.79