go back

Arizona rates for HCPCS Q4002

Cast supplies, body cast adult, with or without head, fiberglass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.61 / $138.61 / $138.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.14 / $149.69 / $302.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.16 / $184.82 / $436.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.26 / $94.26 / $94.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.66 / $231.02 / $413.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.23 / $104.79 / $1,540.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.70 / $97.97 / $166.75