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Michigan 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
$112.22 / $112.22 / $112.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.90 / $112.22 / $126.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.83 / $444.41 / $844.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.00 / $153.26 / $198.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.12 / $60.12 / $217.17
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.41 / $100.41 / $112.22
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.41 / $100.41 / $176.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.53 / $95.18 / $155.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.13 / $69.20 / $106.39