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North Carolina rates for HCPCS Q4004

Cast supplies, shoulder cast, adult (11 years +), fiberglass

Facilitymedian $138 · 10th–90th $93–$2630%20%40%10th90th$138Professionalmedian $112 · 10th–90th $72–$1320%20%10th90th$112$1.0$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $131.83 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $104.71 / $131.83
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $117.49 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $63.10 / $63.10
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $147.91 / $229.09
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $269.15
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $147.91 / $154.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $61.66 / $154.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $72.44 / $104.71
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $724.44 / $724.44
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $870.96 / $1,148.15