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Illinois rates for HCPCS Q4021

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.73 / $4.73 / $8.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.50 / $6.10 / $8.75
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.49 / $10.49 / $10.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.42 / $23.73 / $96.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.58 / $8.42 / $8.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $3.44 / $8.64
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.16 / $11.79 / $37.92
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
$10.95 / $10.95 / $10.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.45 / $11.79 / $12.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $4.20 / $7.44