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Maryland rates for HCPCS Q4042

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.70 / $20.70 / $20.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.70 / $28.81 / $97.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.25 / $24.25 / $24.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.39 / $17.39 / $17.39
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.64 / $55.01 / $68.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.67 / $21.27 / $31.67
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.44 / $26.44 / $26.44