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Alaska rates for HCPCS Q4028

Cast supplies, hip spica (one or both legs), pediatric (0-10 years), fiberglass

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.18 / $70.18 / $70.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $30.08 / $74.16
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.61 / $73.73 / $133.86
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.04 / $70.04 / $221.19
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.00 / $72.00 / $3,495.87
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.70 / $72.00 / $72.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.61 / $70.18 / $129.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.65 / $61.31 / $86.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.63 / $36.79 / $183.93