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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
$36.52 / $36.52 / $36.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.52 / $28.00 / $36.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.57 / $17.57 / $33.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.57 / $17.57 / $27.86
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.64 / $55.43 / $84.32
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.77 / $51.17 / $63.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.39 / $17.39 / $43.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.05 / $21.27 / $30.77