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Indiana rates for HCPCS Q4021

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.21 / $7.21 / $7.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.73 / $6.58 / $7.24
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.87 / $4.99 / $4.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.47 / $3.47 / $6.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $3.47 / $5.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.42 / $10.95 / $16.64
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.84 / $10.10 / $12.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $3.44 / $8.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $4.20 / $6.30