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Pennsylvania rates for HCPCS Q4036

Cast supplies, long leg cylinder cast, pediatric (0-10 years), fiberglass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $19.95 / $30.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $26.92 / $87.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $28.84
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,511.38 / $77,624.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $67.61 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $16.98
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $61.66 / $93.33
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $42.66 / $42.66
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $29.51 / $42.66
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $25.12 / $30.90
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $26.92 / $48.98
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $60.26 / $67.61
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $60.26 / $83.18
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $24.55 / $39.81
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $24.55 / $63.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $20.89 / $34.67