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Ohio rates for HCPCS Q4014

Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), fiberglass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.06 / $67.68 / $74.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.93 / $21.06 / $31.37
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.35 / $16.35 / $16.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.69 / $17.85 / $43.13
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.18 / $33.18 / $33.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.29 / $33.18 / $49.28
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.50 / $43.13 / $71.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.54 / $13.54 / $13.54
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.88 / $38.88 / $38.88
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.54 / $13.54 / $13.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.36 / $10.83 / $13.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.03 / $16.39 / $21.06