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Washington 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
$4.11 / $9.33 / $9.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.10 / $4.11 / $9.74
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.86 / $15.51 / $90.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.99 / $6.32 / $63.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $2.95 / $2.95
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.94 / $10.71 / $17.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.06 / $10.71 / $17.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.34 / $6.49 / $60.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.05 / $7.22 / $7.94
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.32 / $12.64 / $18.75
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.99 / $7.05 / $8.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.83 / $6.14 / $7.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $5.09 / $5.84
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $6.14 / $7.22