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Alaska rates for HCPCS Q4015

Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), plaster

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.38 / $9.38 / $9.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.01 / $14.78
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.64 / $9.85 / $16.42
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.36 / $9.36 / $29.55
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.61 / $9.61 / $3,495.87
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.05 / $9.61 / $9.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.64 / $9.38 / $15.92
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.90 / $8.19 / $11.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $5.14 / $24.57