go back

New Mexico 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
$5.25 / $5.25 / $5.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $4.74 / $5.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $2.95 / $7.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.66 / $11.77 / $11.77
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.03 / $7.22 / $12.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $2.95 / $10.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $3.17 / $5.22