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Washington rates for HCPCS Q4017

Cast supplies, long arm splint, adult (11 years +), plaster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.49 / $14.73 / $15.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.49 / $8.24 / $18.32
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.35 / $15.35 / $15.35
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.54 / $24.42 / $90.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.44 / $9.94 / $137.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.63 / $4.63 / $4.63
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.00 / $18.20 / $38.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.20 / $18.20 / $38.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.99 / $11.37 / $60.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.10 / $11.37 / $12.51
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.94 / $19.89 / $29.53
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.44 / $11.10 / $12.76
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.18 / $9.66 / $11.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.82 / $5.67 / $9.19
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.66 / $9.66 / $11.37