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Pennsylvania rates for HCPCS Q4042

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

Facilitymedian $26 · 10th–90th $20–$410%20%40%10th90th$26Professionalmedian $27 · 10th–90th $19–$520%20%10th90th$27$1.0$10.0$100.0$1.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $31.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $26.92 / $52.48
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $42.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $17.78
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $63.10 / $93.33
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $43.65 / $43.65
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $30.20 / $43.65
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $25.70
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $28.18 / $41.69
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $57.54 / $83.18
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $40.74
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $41.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $21.38 / $37.15