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New York rates for HCPCS Q4012

Cast supplies, short arm cast, pediatric (0-10 years), fiberglass

Facilitymedian $14 · 10th–90th $8$280%20%10th90th$14Professionalmedian $10 · 10th–90th $5$250%10%10th90th$10$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
$7.94 / $10.96 / $21.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $11.48 / $26.30
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $14.45 / $14.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $4.79 / $14.79
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $10.23 / $10.23
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $10.23 / $10.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $5.13 / $14.13
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $20.42 / $47.86
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $18.20 / $24.55
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $17.38
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $18.20 / $18.20
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
$8.13 / $12.02 / $12.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $46.77
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $10.96 / $23.99
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $17.38 / $18.62
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $17.38 / $18.20