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Washington rates for HCPCS Q4014

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

Facilitymedian $48 · 10th–90th $30–$870%10%20%10th90th$48Professionalmedian $28 · 10th–90th $16–$810%5%10%10th90th$28$10.0$20.0$50.0$100.0$200.0

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
$18.20 / $44.67 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $25.70 / $97.72
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $13.80
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $53.70 / $89.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $53.70 / $87.10
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $33.11 / $33.88
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $58.88 / $85.11
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $32.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $28.84 / $37.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $25.12 / $26.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $14.45 / $26.92
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $51.29