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Minnesota 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
$30.08 / $30.08 / $30.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.49 / $30.08 / $39.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.40 / $47.18 / $74.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.74 / $44.82 / $47.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.18 / $145.87 / $205.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.30 / $61.48 / $69.53
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.39 / $133.68 / $192.89
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.75 / $54.75 / $56.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.18 / $47.18 / $92.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.68 / $22.38 / $85.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.66 / $20.01 / $47.38