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Minnesota rates for HCPCS Q4022

Cast supplies, short arm splint, adult (11 years +), fiberglass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.69 / $9.69 / $9.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.82 / $13.94 / $37.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.01 / $15.20 / $23.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.16 / $14.44 / $15.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.87 / $46.55 / $65.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.80 / $19.62 / $22.38
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.29 / $42.66 / $61.56
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.63 / $17.63 / $18.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.20 / $15.20 / $44.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $7.20 / $27.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $7.57 / $26.70