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North Dakota 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
$53.65 / $53.65 / $53.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.41 / $47.02 / $53.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.41 / $81.51 / $89.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.21 / $129.21 / $148.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.50 / $86.36 / $106.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.65 / $73.73 / $132.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.37 / $31.27 / $73.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.48 / $30.66 / $59.62