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Illinois rates for HCPCS Q4050

Cast Supplies For Unlisted Types And Materials Of Casts

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.00 / $42.75 / $47.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.96 / $8.96 / $8.96
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.68 / $201.52 / $377.20
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
$214.53 / $233.51 / $261.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,500.00 / $2,500.00 / $2,500.00