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Virginia 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
$6.09 / $6.09 / $6.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.07 / $6.11 / $7.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.61 / $9.61 / $12.89
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.59 / $5.59 / $5.59
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.36 / $11.52 / $15.76
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.09 / $9.23 / $14.59
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.55 / $15.00 / $23.09
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.46 / $10.53 / $18.94
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.35 / $10.53 / $18.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.26 / $4.91 / $7.77