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Idaho rates for HCPCS Q4042

Cast supplies, long leg splint, adult (11 years +), fiberglass

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.73 / $30.91 / $57.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.39 / $17.39 / $17.39
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.32 / $42.64 / $63.65
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.51 / $40.51 / $42.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $37.47 / $83.15
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.85 / $29.85 / $44.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.20 / $18.07 / $29.30