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Texas rates for HCPCS Q4021

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.45 / $5.53 / $5.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $5.97 / $8.22
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.42 / $6.00 / $12.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.51 / $10.71 / $23.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.94 / $6.94 / $6.94
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $7.06 / $10.59
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.09 / $90.00 / $90.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.00 / $137.82 / $143.33
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.60 / $9.86 / $29.08
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.16 / $8.00 / $8.42
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.25 / $9.44 / $14.73
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.69 / $10.17 / $29.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $3.44 / $7.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $3.95 / $5.78
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.42 / $8.42 / $11.37