go back

Illinois 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
$129.74 / $129.74 / $231.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.75 / $142.93 / $230.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.20 / $729.51 / $2,647.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.49 / $231.02 / $287.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.26 / $94.26 / $236.98
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.37 / $282.89 / $485.14
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.33 / $300.33 / $300.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.19 / $323.43 / $346.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.64 / $115.25 / $204.09