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Massachusetts rates for HCPCS Q4042

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.64 / $19.64 / $19.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.64 / $23.94 / $52.87
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.56 / $202.54 / $202.54
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.46 / $23.44 / $435.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.64 / $42.64 / $42.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.39 / $17.39 / $19.26
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.76 / $34.76 / $34.76
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.56 / $202.54 / $202.54
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.07 / $23.44 / $435.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.07 / $23.44 / $46.90