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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
$8.91 / $8.91 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $10.96 / $23.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $19.05 / $30.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $6.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $16.60 / $40.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $7.59 / $18.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $11.48 / $11.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $7.24 / $12.02