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Pennsylvania 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
$16.27 / $16.27 / $20.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.93 / $20.34 / $77.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.00 / $57,255.43 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.18 / $33.18 / $33.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.88 / $38.88 / $38.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.54 / $13.54 / $13.54
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.84 / $44.93 / $48.11
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.48 / $246.48 / $246.48
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.27 / $20.34 / $142.18
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.93 / $22.42 / $77.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.79 / $49.50 / $65.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.88 / $38.88 / $38.88
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.54 / $13.54 / $13.54
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.45 / $31.58 / $31.58
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.45 / $31.58 / $31.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.06 / $16.55 / $28.74