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Massachusetts 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
$4.54 / $4.54 / $4.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.54 / $5.53 / $9.99
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.00 / $90.00 / $90.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.26 / $5.41 / $82.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.01 / $4.45
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.02 / $8.02 / $8.02
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.00 / $90.00 / $90.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.18 / $5.41 / $82.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.85 / $5.41 / $10.77