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Indiana 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
$14.20 / $14.20 / $14.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.96 / $10.26 / $14.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.84 / $6.84 / $13.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.84 / $6.84 / $10.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.57 / $21.55 / $32.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.41 / $19.89 / $24.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $17.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.69 / $8.27 / $11.97