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Michigan rates for HCPCS Q4024

Cast Supplies Short Arm Splint Pediatric (0-10 Years) Fiberglass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.79 / $5.79 / $5.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.83 / $7.04 / $12.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.04 / $22.95 / $43.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.23 / $7.91 / $9.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.11 / $3.11 / $14.40
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.17 / $5.17 / $5.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.17 / $5.94 / $12.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.46 / $5.12 / $8.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.69 / $3.57 / $5.48