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Oregon 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 / $54.44 / $212.75
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
$124.33 / $153.02 / $179.71
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.44 / $73.73 / $157.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.72 / $70.04 / $77.42
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.36 / $73.73 / $91.23
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.56 / $58.56 / $58.56
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.44 / $73.73 / $147.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $64.56 / $79.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.05 / $81.09 / $81.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.87 / $31.27 / $59.65