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Pennsylvania rates for HCPCS Q4043

Cast Supplies Long Leg Splint Pediatric (0-10 Years) Plaster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.13 / $6.13 / $7.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.06 / $7.66 / $12.49
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.00 / $57,255.43 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.49 / $12.49 / $12.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.64 / $14.64 / $14.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $5.09 / $5.09
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.11 / $16.91 / $18.11
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.70 / $185.70 / $185.70
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.13 / $6.13 / $7.66
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.06 / $7.66 / $26.40
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.40 / $18.60 / $24.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.64 / $14.64 / $14.64
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $5.09 / $5.09
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.31 / $11.89 / $11.89
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.31 / $11.89 / $11.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.30 / $6.23 / $10.39