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New York 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
$6.03 / $8.91 / $11.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $6.03 / $8.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $3.89 / $12.30
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.76 / $8.32 / $8.32
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $8.32 / $8.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $15.85 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $10.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $16.60 / $38.90
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $14.45 / $19.95
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $7.59 / $7.59
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $8.13 / $8.13
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,118.72 / $53,703.18 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $9.55 / $9.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $4.90 / $9.12
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $7.59 / $7.59
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $7.59 / $8.13