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Arizona rates for HCPCS Q4016

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.94 / $9.94 / $9.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.96 / $9.46 / $15.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.78 / $13.26 / $31.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $6.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.94 / $16.57 / $34.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.69 / $7.52 / $167.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.47 / $7.03 / $11.97