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Rhode Island rates for HCPCS Q4021

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.73 / $13.73 / $13.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.88 / $5.05 / $13.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.90 / $16.86 / $19.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.51 / $5.51 / $7.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $3.44 / $3.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.20 / $4.20 / $7.00