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Illinois rates for HCPCS Q4017

Cast Supplies Long Arm Splint Adult (11 Years +) Plaster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.38 / $6.38 / $50.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.57 / $7.35 / $11.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.56 / $32.06 / $130.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.88 / $11.37 / $11.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.63 / $4.63 / $11.66
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.66 / $15.92 / $38.40
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.78 / $14.78 / $14.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.46 / $15.92 / $17.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $5.67 / $9.44