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Texas 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
$10.74 / $10.89 / $11.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.97 / $10.89 / $14.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.82 / $21.51 / $45.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.67 / $13.67 / $13.67
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.65 / $90.00 / $90.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.35 / $167.85 / $174.56
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.04 / $16.57 / $35.40
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.09 / $15.75 / $19.07
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.25 / $18.60 / $29.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.04 / $16.57 / $35.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $13.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.86 / $7.52 / $11.40
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.57 / $16.57 / $22.38