go back

Texas 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
$6.39 / $6.47 / $6.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $6.66 / $8.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.11 / $8.11 / $8.11
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.00 / $90.00 / $90.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.88 / $79.51 / $82.69
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.56 / $9.85 / $18.36
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.36 / $9.36 / $9.85
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.65 / $11.05 / $17.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.56 / $9.85 / $18.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.01 / $8.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.48 / $4.46 / $6.76
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.85 / $9.85 / $13.30