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Indiana 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
$126.24 / $126.24 / $126.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.36 / $96.78 / $126.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.78 / $60.78 / $117.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.78 / $60.78 / $96.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.37 / $191.58 / $291.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.74 / $176.84 / $221.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.12 / $60.12 / $151.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.66 / $73.52 / $101.30