go back

Indiana rates for HCPCS Q4020

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.79 / $7.79 / $7.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $6.93 / $7.92
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.25 / $8.00 / $8.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.74 / $3.74 / $7.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.74 / $3.74 / $5.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.10 / $11.83 / $18.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.56 / $10.92 / $13.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $3.72 / $9.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $4.54 / $6.24