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Idaho 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
$34.39 / $54.44 / $100.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $30.08 / $30.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.06 / $73.73 / $110.08
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.04 / $70.04 / $73.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $64.80 / $129.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.61 / $51.61 / $77.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.75 / $31.27 / $57.69