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New York rates for HCPCS Q4027

Cast supplies, hip spica (one or both legs), pediatric (0-10 years), plaster

Facilitymedian $27 · 10th–90th $16–$540%20%10th90th$27Professionalmedian $15 · 10th–90th $9–$340%10%10th90th$15$0.2$2.0$20.0$200.0$2.0K$20.0K

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
$15.85 / $21.88 / $38.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.85 / $23.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $9.33 / $28.18
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $19.95 / $19.95
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $9.77 / $27.54
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $39.81 / $93.33
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $34.67 / $47.86
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $29.51
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $30.90 / $30.90
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50,118.72 / $53,703.18 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $22.91 / $22.91
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $67.61 / $89.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $20.89 / $43.65
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $29.51 / $29.51
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $29.51 / $30.90