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Pennsylvania rates for HCPCS Q4045

Cast supplies, short leg splint, adult (11 years +), plaster

Facilitymedian $8 · 10th–90th $7–$150%20%10th90th$8Professionalmedian $9 · 10th–90th $6–$270%20%10th90th$9$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
$7.08 / $7.08 / $10.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $10.00 / $28.18
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
$14.45 / $14.45 / $14.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $6.03
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $21.38 / $32.36
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $14.79
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $10.23 / $14.79
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $147.91 / $154.88
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.94
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $8.91 / $12.88
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $20.42 / $28.84
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $8.51 / $13.80
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $12.30 / $15.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $7.24 / $12.59