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Montana 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 / $32.46 / $123.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.64 / $41.64 / $41.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.77 / $44.77 / $44.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.39 / $44.77 / $44.77
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.58 / $44.77 / $98.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.60 / $33.60 / $49.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.20 / $18.07 / $20.69