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Pennsylvania 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
$8.13 / $8.13 / $10.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.96 / $10.16 / $21.23
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.00 / $57,255.43 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.57 / $16.57 / $16.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.43 / $19.43 / $19.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $6.76
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.41 / $22.45 / $24.04
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $8.13 / $10.16
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.96 / $10.16 / $21.23
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.39 / $24.70 / $32.70
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.43 / $19.43 / $19.43
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $6.76
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.72 / $15.78 / $15.78
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.72 / $15.78 / $15.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.48 / $8.27 / $13.79