go back

Maryland rates for HCPCS Q4041

Cast Supplies Long Leg Splint Adult (11 Years +) Plaster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.12 / $12.12 / $12.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.12 / $16.88 / $23.15
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.21 / $14.21 / $14.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.19 / $10.19 / $10.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.98 / $32.22 / $39.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.93 / $12.46 / $19.96
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.53 / $12.53 / $12.53