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New York 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
$10.96 / $15.14 / $20.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $12.02 / $23.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $6.46 / $20.42
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $13.80 / $13.80
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $13.80 / $13.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $26.30 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $16.60
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $28.18 / $64.57
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $24.55 / $33.88
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $16.22 / $16.22
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $16.98 / $16.98
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,118.72 / $53,703.18 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $16.22 / $16.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $8.32 / $15.14
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $16.22 / $17.38
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $16.22 / $16.98