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South Carolina rates for HCPCS Q4004

Cast Supplies Shoulder Cast Adult (11 Years +) Fiberglass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.52 / $121.52 / $121.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.94 / $121.52 / $133.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.99 / $159.59 / $276.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.12 / $178.12 / $178.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.01 / $62.01 / $62.01
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.47 / $137.88 / $265.02
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.97 / $95.97 / $95.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,000.00 / $3,000.00 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.55 / $73.14 / $94.04