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Montana 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
$61.78 / $88.42 / $425.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.74 / $154.74 / $154.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.12 / $154.74 / $154.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.27 / $154.74 / $302.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.14 / $116.14 / $172.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.47 / $62.49 / $71.54