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Maine 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
$33.96 / $42.30 / $52.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.02 / $60.76 / $76.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $30.08 / $30.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.14 / $60.14 / $60.14
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.30 / $42.30 / $49.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.80 / $36.79 / $84.58