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South Carolina rates for HCPCS Q4013

Cast Supplies Gauntlet Cast (Includes Lower Forearm And Hand) Adult (11 Years +) Plaster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.73 / $15.73 / $15.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.46 / $15.73 / $17.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.68 / $21.00 / $36.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.06 / $23.06 / $23.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.02 / $8.02 / $8.02
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.40 / $18.73 / $34.44
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.20 / $13.20 / $13.20
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
$6.54 / $9.38 / $10.65