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Indiana rates for HCPCS Q4028

Cast Supplies Hip Spica (One Or Both Legs) Pediatric (0-10 Years) Fiberglass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.16 / $63.16 / $63.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.70 / $48.42 / $63.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.40 / $30.40 / $58.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.40 / $30.40 / $48.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.73 / $95.85 / $145.80
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.42 / $88.48 / $110.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $30.08 / $75.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.84 / $36.79 / $50.66