go back

New Mexico 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
$12.05 / $12.05 / $12.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.96 / $9.35 / $12.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $19.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.89 / $27.03 / $27.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.55 / $17.89 / $34.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $23.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.03 / $7.26 / $11.97