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Washington 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
$5.01 / $5.01 / $12.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $7.08 / $16.98
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $14.45 / $14.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $3.72 / $3.72
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $16.98 / $35.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $16.60 / $31.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $32.36 / $60.26
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $8.91 / $9.55
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $7.24
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.22 / $16.60 / $23.44
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $7.59 / $8.91
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $10.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.89 / $7.41
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $13.80