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Vermont 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
$30.20 / $48.98 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $97.72
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $72.44 / $74.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $42.66 / $154.88