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New Jersey rates for HCPCS Q4016

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

Facilitymedian $21 · 10th–90th $21–$210%50%$21Professionalmedian $11 · 10th–90th $7–$240%20%10th90th$11$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $20.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $10.96 / $26.30
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $6.92 / $6.92
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $20.42 / $29.51
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $10.96 / $10.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $6.31 / $6.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $8.32 / $18.20