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Montana rates for HCPCS Q4025

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.31 / $28.98 / $136.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.54 / $49.54 / $49.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.25 / $49.54 / $49.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.90 / $49.54 / $142.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.18 / $37.18 / $55.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.04 / $20.01 / $22.90