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New York rates for HCPCS Q4009

Cast supplies, short arm cast, adult (11 years +), plaster

Facilitymedian $12 · 10th–90th $7–$250%20%10th90th$12Professionalmedian $7 · 10th–90th $4–$210%10%10th90th$7$0.1$1.0$10.0$100.0$1.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $10.00 / $19.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $7.94 / $23.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $4.27 / $12.88
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $9.12 / $9.12
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $9.12 / $9.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $4.47 / $12.59
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $18.20 / $42.66
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $15.85 / $21.88
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $16.22
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $16.98 / $16.98
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50,118.72 / $53,703.18 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $10.47 / $10.47
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $30.90 / $40.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $9.55 / $19.95
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $16.22 / $16.22
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $16.22 / $16.98