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Idaho rates for HCPCS Q4022

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.94 / $9.94 / $45.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.58 / $15.34 / $25.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.20 / $6.20 / $6.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.07 / $20.62 / $34.03
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.44 / $14.44 / $15.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.36 / $13.68 / $30.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.64 / $10.64 / $15.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.44 / $6.89 / $11.89