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Washington rates for HCPCS Q4003

Cast supplies, shoulder cast, adult (11 years +), plaster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.04 / $25.04 / $25.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.65 / $26.34 / $51.09
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.02 / $87.88 / $205.45
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.44 / $37.32 / $394.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.91 / $17.91 / $17.91
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.29 / $65.05 / $108.85
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.56 / $65.05 / $109.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $42.87 / $60.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.87 / $43.90 / $48.29
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.44 / $76.88 / $114.03
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.44 / $42.87 / $49.30
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.45 / $37.32 / $43.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $21.90 / $35.51
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.32 / $37.32 / $43.90