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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
$14.13 / $14.13 / $14.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $10.96 / $19.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $6.92 / $13.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $9.12 / $14.79
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $21.38 / $25.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $5.75 / $9.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $13.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $7.94 / $11.48