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Arizona rates for HCPCS Q4015

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.91 / $5.91 / $5.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.83 / $5.91 / $10.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.40 / $7.88 / $18.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.01 / $4.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.91 / $9.85 / $19.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $4.46 / $79.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.27 / $4.18 / $7.10