go back

Washington 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
$5.62 / $12.76 / $13.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.83 / $5.65 / $13.38
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.47 / $21.16 / $90.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.18 / $8.63 / $79.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.01 / $4.01
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.06 / $14.06 / $21.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.11 / $14.40 / $21.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.65 / $9.85 / $60.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.61 / $9.85 / $10.84
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.63 / $17.26 / $25.59
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.18 / $9.61 / $11.06
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.95 / $8.36 / $9.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.18 / $4.91 / $7.97
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.36 / $8.36 / $9.85