go back

Montana 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 / $56.14 / $212.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.42 / $77.42 / $77.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $77.42 / $77.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.18 / $77.42 / $151.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.10 / $58.10 / $86.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.75 / $31.27 / $35.79