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Minnesota 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
$47.02 / $47.02 / $47.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.29 / $47.02 / $61.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.16 / $73.73 / $116.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.98 / $70.04 / $73.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.34 / $227.60 / $319.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.36 / $95.92 / $108.59
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.55 / $208.58 / $300.95
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.50 / $85.50 / $88.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.73 / $73.73 / $132.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.06 / $34.97 / $134.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.48 / $34.90 / $134.18