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Indiana rates for HCPCS Q4042

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $28.18 / $37.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $17.38 / $33.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $23.44 / $38.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $54.95 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $17.38 / $28.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $20.42 / $29.51