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Washington rates for HCPCS Q4016

Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), fiberglass

Facilitymedian $23 · 10th–90th $15–$410%10%20%10th90th$23Professionalmedian $12 · 10th–90th $7–$320%5%10%10th90th$12$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $22.39
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $11.22 / $32.36
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $14.45 / $18.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $6.92 / $6.92
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $26.92 / $44.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $26.92 / $43.65
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $32.36 / $60.26
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $16.60
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $28.84 / $41.69
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $16.22
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $14.45 / $18.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $12.59 / $13.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $7.08 / $13.49
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $14.45 / $25.12