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Montana rates for HCPCS Q4021

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.58 / $6.58 / $20.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.22 / $8.22 / $8.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.84 / $8.84 / $8.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $8.84 / $8.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.01 / $8.84 / $32.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.63 / $6.63 / $9.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.40 / $3.57 / $4.20