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North Dakota 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
$107.21 / $107.21 / $107.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.76 / $93.98 / $107.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.75 / $162.91 / $179.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.41 / $258.41 / $297.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.00 / $172.71 / $213.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.21 / $147.37 / $265.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.71 / $62.49 / $147.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.93 / $61.27 / $119.18