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Pennsylvania rates for HCPCS Q4021

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.13 / $35.01 / $35.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.63 / $6.58 / $17.48
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.71 / $13.71 / $13.71
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.00 / $57,255.43 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.42 / $8.42 / $8.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.86 / $9.86 / $9.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $3.44 / $3.44
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.84 / $11.40 / $12.21
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $32.52 / $37.27
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.13 / $35.01 / $35.57
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.16 / $6.85 / $18.32
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.40 / $12.60 / $16.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.86 / $9.86 / $9.86
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $3.44 / $3.44
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.93 / $8.01 / $8.01
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.93 / $8.01 / $8.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $4.20 / $7.28