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Pennsylvania rates for HCPCS Q4022

Cast supplies, short arm splint, adult (11 years +), fiberglass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.45 / $104.42 / $105.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.31 / $13.94 / $37.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.74 / $24.74 / $24.74
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
$15.20 / $15.20 / $15.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.80 / $17.80 / $17.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.20 / $6.20 / $6.20
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.96 / $20.58 / $22.04
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.23 / $98.86 / $112.73
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.45 / $104.42 / $105.96
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.31 / $14.70 / $36.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.70 / $22.70 / $29.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.80 / $17.80 / $17.80
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.20 / $6.20 / $6.20
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.90 / $14.46 / $14.46
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.90 / $14.46 / $14.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.44 / $7.57 / $13.15