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Montana 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
$3.06 / $5.50 / $20.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.58 / $7.58 / $7.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $7.58 / $7.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.87 / $7.58 / $14.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.69 / $5.69 / $8.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $3.06 / $3.50