go back

Illinois rates for HCPCS Q4042

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.94 / $23.94 / $42.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.88 / $26.35 / $40.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.60 / $134.61 / $488.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.31 / $42.64 / $42.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.39 / $17.39 / $43.73
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.24 / $55.43 / $108.77
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.43 / $55.43 / $55.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.99 / $59.70 / $63.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.07 / $21.27 / $36.51