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Maine rates for HCPCS Q4042

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.93 / $24.46 / $30.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $35.13 / $44.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.39 / $17.39 / $17.39
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.76 / $34.76 / $34.76
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.73 / $24.46 / $31.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.18 / $21.27 / $48.91