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Oregon 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
$12.02 / $12.02 / $12.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $10.96 / $23.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $6.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $31.62 / $151.36
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $15.49 / $34.67
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $13.80 / $19.50
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $16.22 / $17.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.23 / $16.98 / $37.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $15.85 / $79.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $18.62 / $18.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $7.08 / $12.02