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Arizona rates for HCPCS Q4028

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.24 / $44.24 / $44.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.97 / $44.24 / $156.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.92 / $58.98 / $139.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $30.08 / $30.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.24 / $73.73 / $144.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.75 / $33.43 / $648.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.30 / $31.27 / $52.11