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California 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
$200.83 / $234.08 / $666.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.61 / $200.83 / $666.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.26 / $96.75 / $163.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.38 / $135.66 / $259.08
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $258.92 / $541.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.26 / $94.26 / $94.26
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.02 / $254.12 / $311.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.00 / $288.77 / $531.35
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.11 / $1,081.17 / $1,097.34
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,540.67 / $1,602.29 / $1,732.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.89 / $231.02 / $411.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.26 / $94.26 / $244.56
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.04 / $436.04 / $436.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.88 / $100.05 / $283.95