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Montana rates for HCPCS Q4043

Cast supplies, long leg splint, pediatric (0-10 years), plaster

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.75 / $9.51 / $36.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.20 / $12.20 / $12.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.11 / $13.11 / $13.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $13.11 / $13.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.89 / $13.11 / $23.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.85 / $9.85 / $14.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $5.30 / $6.07