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Maine rates for HCPCS Q4047

Cast Supplies Short Leg Splint Pediatric (0-10 Years) Plaster

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.18 / $4.13 / $5.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $5.95 / $7.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $2.95 / $2.95
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.88 / $5.88 / $5.88
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.18 / $4.13 / $4.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $3.60 / $8.28