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Indiana 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
$28.42 / $28.42 / $28.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.93 / $20.07 / $33.04
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.39 / $26.44 / $38.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.69 / $13.69 / $26.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.69 / $13.69 / $21.68
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.18 / $43.13 / $65.61
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.84 / $39.82 / $49.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.54 / $13.54 / $34.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.38 / $16.55 / $28.20