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Pennsylvania rates for HCPCS Q4022

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

Facilitymedian $65 · 10th–90th $7–$1070%20%10th90th$65Professionalmedian $15 · 10th–90th $8–$390%10%20%10th90th$15$1.0$10.0$100.0$1.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $64.57 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $15.85 / $38.90
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $9.55 / $11.48
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $6.92 / $12.59
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $6.31 / $6.31
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $22.39 / $33.88
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $15.49
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $10.47 / $15.49
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $104.71 / $128.82
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $13.18
Independence Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $6.92 / $7.94
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $8.91
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $12.02 / $23.44
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $21.38 / $30.20
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $10.23 / $21.38
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $12.88 / $20.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $7.59 / $13.18