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Rhode Island 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
$64.63 / $64.63 / $64.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.96 / $39.36 / $64.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.23 / $147.63 / $166.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.27 / $48.27 / $68.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $30.08 / $30.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.07 / $36.79 / $61.31