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Illinois rates for HCPCS Q4014

Cast Supplies Gauntlet Cast (Includes Lower Forearm And Hand) Adult (11 Years +) Fiberglass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.63 / $18.63 / $48.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.93 / $21.04 / $44.89
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.96 / $52.96 / $52.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.20 / $88.97 / $380.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.92 / $33.18 / $33.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.54 / $13.54 / $34.04
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.20 / $42.14 / $128.46
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.13 / $43.13 / $43.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.12 / $46.45 / $49.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.63 / $16.55 / $27.58