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Maryland rates for HCPCS Q4025

Cast supplies, hip spica (one or both legs), adult (11 years +), plaster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.90 / $22.90 / $22.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.90 / $31.88 / $47.82
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.86 / $26.86 / $26.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.25 / $19.25 / $19.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.18 / $60.86 / $75.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.66 / $23.54 / $34.07
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.69 / $38.69 / $38.69