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Pennsylvania rates for HCPCS Q4043

Cast supplies, long leg splint, pediatric (0-10 years), plaster

Facilitymedian $7 · 10th–90th $6–$120%20%10th90th$7Professionalmedian $7 · 10th–90th $5–$120%20%10th90th$7$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
$6.03 / $6.03 / $9.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.08 / $10.96
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,511.38 / $77,624.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $5.25 / $5.25
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $18.62 / $27.54
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $12.88
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $8.71 / $12.88
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $186.21 / $186.21
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $7.08
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.08 / $10.96
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $5.89 / $19.50
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $7.24 / $17.78
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $8.91 / $17.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $6.17 / $10.96