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Indiana 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
$197.90 / $197.90 / $197.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.54 / $156.00 / $197.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.29 / $95.29 / $183.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.29 / $95.29 / $150.97
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.02 / $300.33 / $456.86
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.57 / $277.22 / $346.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.26 / $94.26 / $236.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.31 / $115.25 / $158.81