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Illinois rates for HCPCS Q4026

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.76 / $82.76 / $147.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.73 / $90.33 / $129.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.60 / $465.34 / $1,688.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.14 / $147.37 / $155.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.12 / $60.12 / $151.16
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.26 / $187.16 / $345.40
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.58 / $191.58 / $191.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.42 / $206.32 / $221.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.08 / $73.52 / $130.18