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Alaska rates for HCPCS Q4047

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.87 / $6.87 / $6.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $2.95 / $12.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.34 / $7.22 / $13.14
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.86 / $6.86 / $21.66
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.05 / $7.05 / $3,495.87
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.17 / $7.05 / $7.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.34 / $6.87 / $12.73
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $6.00 / $8.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.60 / $3.60 / $18.00