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Montana rates for HCPCS Q4022

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.94 / $13.95 / $36.00
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
$14.84 / $14.84 / $14.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.96 / $15.96 / $15.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.20 / $15.96 / $15.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.46 / $15.96 / $68.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.97 / $11.97 / $17.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.13 / $6.44 / $7.57