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Pennsylvania rates for HCPCS Q4030

Cast supplies, long leg cast, adult (11 years +), fiberglass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.59 / $46.59 / $58.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.35 / $57.01 / $80.77
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.80 / $44.80 / $44.80
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.00 / $57,255.43 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.02 / $95.02 / $95.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.35 / $111.35 / $111.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.77 / $38.77 / $38.77
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.77 / $128.66 / $137.78
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$742.33 / $742.33 / $742.33
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.59 / $46.59 / $58.24
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.35 / $48.84 / $80.77
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.90 / $141.69 / $187.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.35 / $111.35 / $111.35
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.77 / $38.77 / $38.77
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.67 / $90.44 / $90.44
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.67 / $90.44 / $90.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.29 / $47.40 / $82.30