go back

Maryland 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
$3.50 / $3.50 / $3.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $4.88 / $18.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $4.12 / $4.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $2.95 / $2.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.22 / $9.31 / $11.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $3.60 / $5.24
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.90 / $3.90 / $3.90