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Minnesota rates for HCPCS Q4042

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.19 / $27.19 / $27.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.73 / $27.19 / $35.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.52 / $42.64 / $67.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.11 / $40.51 / $42.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.81 / $131.38 / $184.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $55.37 / $62.87
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.20 / $120.41 / $173.74
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.50 / $49.50 / $50.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.64 / $42.64 / $76.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.07 / $20.22 / $77.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.05 / $18.07 / $42.81