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Virginia 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
$10.25 / $10.25 / $45.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.96 / $10.25 / $13.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.19 / $16.19 / $21.70
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.44 / $9.44 / $9.44
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.09 / $19.39 / $26.53
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.25 / $16.57 / $26.63
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.94 / $26.00 / $38.86
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.52 / $21.93 / $37.36
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.52 / $21.93 / $37.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.26 / $8.27 / $13.79