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Pennsylvania rates for HCPCS Q4040

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

Facilitymedian $33 · 10th–90th $12–$2450%10%10th90th$33Professionalmedian $22 · 10th–90th $14–$620%10%20%10th90th$22$1.0$10.0$100.0$1.0K$10.0K

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
$12.02 / $97.72 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $23.99 / $63.10
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $25.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $10.72
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $38.02 / $57.54
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $26.30
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $18.20 / $26.30
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $104.71 / $223.87
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $15.14
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $18.20 / $36.31
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $34.67 / $51.29
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $17.38 / $24.55
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $20.42 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.88 / $22.39