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North Dakota rates for HCPCS Q4042

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.02 / $31.02 / $31.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.73 / $27.19 / $31.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.97 / $47.13 / $51.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.59 / $74.59 / $85.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.50 / $50.00 / $61.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.02 / $43.43 / $76.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $18.07 / $42.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.16 / $17.73 / $33.97