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California rates for HCPCS Q4025

Cast Supplies Hip Spica (One Or Both Legs) Adult (11 Years +) Plaster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.98 / $28.98 / $136.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.31 / $28.98 / $136.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.61 / $19.77 / $33.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.04 / $28.00 / $52.94
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.36 / $59.55 / $108.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.25 / $19.25 / $19.25
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.18 / $51.90 / $63.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.31 / $58.98 / $108.51
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.78 / $237.67 / $263.91
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.85 / $609.54 / $633.92
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.18 / $47.18 / $144.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.25 / $19.25 / $49.94
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.05 / $89.05 / $89.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.18 / $20.44 / $61.38