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Ohio rates for HCPCS Q4012

Cast supplies, short arm cast, pediatric (0-10 years), fiberglass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $13.18 / $26.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $10.23 / $28.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $7.76 / $43.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $6.46 / $14.79
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $12.30 / $12.30
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $14.13 / $15.85
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $15.85 / $16.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.01 / $5.01
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.01 / $8.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $3.98 / $10.72
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $14.79 / $25.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $5.75 / $7.41