go back

Virginia rates for HCPCS Q4004

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.94 / $93.94 / $102.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.20 / $96.48 / $120.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.43 / $148.43 / $198.95
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.51 / $86.51 / $86.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.12 / $178.12 / $178.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.01 / $62.01 / $62.01
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.19 / $177.83 / $243.18
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.86 / $122.12 / $193.76
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.20 / $234.00 / $356.23
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.18 / $137.85 / $234.94
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.18 / $137.12 / $234.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.25 / $75.83 / $126.37