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Maryland rates for HCPCS Q4021

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.38 / $6.58 / $20.00
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
$8.42 / $10.86 / $13.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.68 / $4.20 / $6.56
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.63 / $8.63 / $8.63