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Idaho 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
$68.73 / $108.79 / $200.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.12 / $60.12 / $60.12
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.07 / $147.37 / $220.01
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.00 / $140.00 / $147.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $129.53 / $287.37
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.16 / $103.16 / $154.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.89 / $62.49 / $101.30