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Washington, DC rates for HCPCS Q4021

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.69 / $5.69 / $5.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.45 / $5.69 / $6.58
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $4.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $3.44 / $3.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $16.71 / $16.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.80 / $4.20 / $7.38