go back

Maryland 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
$35.79 / $35.79 / $35.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.79 / $49.83 / $156.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.93 / $41.93 / $41.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $30.08 / $30.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.73 / $95.11 / $118.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.27 / $36.79 / $55.72
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.19 / $41.19 / $41.19