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Hawaii 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
$30.97 / $30.97 / $54.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $81.09 / $81.09
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.73 / $77.20 / $77.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.22 / $103.22 / $103.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.27 / $81.09 / $182.30
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.29 / $61.86 / $95.11