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Alaska rates for HCPCS Q4026

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.27 / $140.27 / $140.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.12 / $60.12 / $144.58
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.16 / $147.37 / $267.31
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.00 / $140.00 / $442.11
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.91 / $143.91 / $3,495.87
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.36 / $143.91 / $143.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.16 / $140.27 / $259.05
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.23 / $122.53 / $172.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.23 / $76.91 / $367.59