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Maine 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
$67.90 / $84.55 / $104.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.98 / $121.44 / $152.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.12 / $60.12 / $60.12
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.17 / $120.17 / $120.17
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.55 / $84.55 / $98.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.01 / $69.95 / $169.07