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Illinois rates for HCPCS Q4019

Cast supplies, long arm splint, pediatric (0-10 years), plaster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.20 / $3.20 / $5.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.79 / $3.61 / $5.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.40 / $17.66 / $65.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.55 / $5.69 / $5.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $2.31 / $5.85
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $7.97 / $25.60
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
$7.40 / $7.40 / $7.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.74 / $7.97 / $8.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.84 / $5.04