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Massachusetts rates for HCPCS Q4021

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.88 / $3.88 / $21.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.88 / $6.58 / $17.48
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.09 / $90.00 / $90.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.64 / $4.62 / $143.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.42 / $8.42 / $8.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $3.44 / $3.80
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.87 / $6.87 / $6.87
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.27 / $5.27 / $5.27
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.09 / $90.00 / $90.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $4.62 / $143.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $4.62 / $11.45