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Alaska rates for HCPCS Q4016

Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), fiberglass

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.76 / $15.78 / $15.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $22.29
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.53 / $16.57 / $34.49
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.75 / $15.75 / $49.74
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.19 / $16.19 / $3,495.87
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.85 / $16.19 / $16.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.53 / $15.78 / $33.43
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.62 / $13.79 / $19.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.02 / $8.27 / $41.37