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Illinois rates for HCPCS Q4047

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.05 / $4.05 / $7.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.37 / $4.33 / $6.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.00 / $22.08 / $82.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $7.22 / $7.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $2.95 / $7.40
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $10.11 / $25.60
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.39 / $9.39 / $9.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.82 / $10.11 / $10.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $3.60 / $6.00