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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
$61.66 / $95.50 / $141.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $131.83 / $234.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $165.96 / $165.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $141.25 / $257.04
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $141.25 / $151.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $125.89
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $165.96
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $151.36 / $151.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $63.10 / $75.86