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New York rates for HCPCS Q4013

Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), plaster

Facilitymedian $18 · 10th–90th $13–$450%20%10th90th$18Professionalmedian $12 · 10th–90th $7–$260%10%10th90th$12$0.2$2.0$20.0$200.0$2.0K$20.0K

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
$12.88 / $18.20 / $22.39
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $12.88 / $18.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $7.76 / $23.44
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $16.60 / $16.60
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $16.60
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $31.62 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $22.91
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $33.11 / $77.62
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $28.84 / $39.81
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $16.22 / $16.22
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
$13.18 / $19.05 / $19.05
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $74.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $17.38 / $36.31
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $16.22
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $16.22