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Pennsylvania 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
$4.83 / $4.83 / $6.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.83 / $6.04 / $9.99
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.00 / $57,255.43 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.85 / $9.85 / $9.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.54 / $11.54 / $11.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.01 / $4.01
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.34 / $13.34 / $14.28
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.83 / $4.83 / $6.04
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.83 / $6.09 / $10.64
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.10 / $14.70 / $19.39
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.54 / $11.54 / $11.54
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.01 / $4.01
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.76 / $9.38 / $9.38
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.76 / $9.38 / $9.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $4.91 / $8.52