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Washington 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
$6.03 / $32.36 / $44.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $11.75 / $28.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $12.88 / $17.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.01 / $5.01
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $21.88 / $43.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $21.38 / $38.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $32.36 / $60.26
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $12.02 / $12.88
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $9.77 / $9.77
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $21.88 / $31.62
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $12.02
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $10.47 / $13.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $5.13 / $9.77
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $10.47 / $18.62