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Washington rates for HCPCS Q4042

Cast Supplies Long Leg Splint Adult (11 Years +) Fiberglass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.32 / $55.21 / $57.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.93 / $25.58 / $57.86
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.30 / $85.36 / $199.56
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.39 / $37.33 / $418.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.39 / $17.39 / $17.39
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.81 / $66.01 / $116.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.75 / $67.58 / $116.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.47 / $38.37 / $60.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.64 / $42.64 / $46.90
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.33 / $74.66 / $110.76
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.39 / $41.64 / $47.89
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.43 / $36.24 / $42.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.32 / $21.27 / $34.49
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.24 / $36.24 / $42.64