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Maryland rates for HCPCS Q4026

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.54 / $71.54 / $71.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.54 / $99.59 / $149.38
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.85 / $83.85 / $83.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.12 / $60.12 / $60.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.37 / $190.11 / $235.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.52 / $73.52 / $109.44
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.10 / $82.10 / $82.10