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Arizona rates for HCPCS Q4042

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.58 / $25.58 / $25.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.93 / $25.58 / $97.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.72 / $34.11 / $80.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.39 / $17.39 / $17.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.58 / $42.64 / $86.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.20 / $19.34 / $418.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.05 / $18.07 / $30.13