go back

Indiana rates for HCPCS Q4012

Cast Supplies Short Arm Cast Pediatric (0-10 Years) Fiberglass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.44 / $10.44 / $10.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.84 / $9.00 / $22.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.94 / $7.77 / $15.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.01 / $9.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.01 / $7.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.19 / $15.85 / $24.10
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.80 / $14.63 / $18.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.97 / $4.97 / $12.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $6.08 / $8.52