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Illinois 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
$9.31 / $9.31 / $51.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.96 / $10.26 / $16.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.84 / $32.28 / $185.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.95 / $16.57 / $16.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $17.01
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.09 / $21.06 / $56.32
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.55 / $21.55 / $21.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.55 / $23.21 / $24.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.86 / $8.27 / $13.79